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Difference between revisions of "Ischemic colitis"
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*May occur together with ''[[ischemic enteritis]]'', in which case it is known as ''ischemic enterocolitis''. | *May occur together with ''[[ischemic enteritis]]'', in which case it is known as ''ischemic enterocolitis''. | ||
Etiology | ===Etiology=== | ||
Anything that leads to vascular occlusion: | |||
*[[Atherosclerosis]]. | *[[Atherosclerosis]]. | ||
*[[Vasculitis]]. | *[[Vasculitis]]. | ||
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*Ischemia = compromised blood supply. | *Ischemia = compromised blood supply. | ||
Clinical | ===Clinical=== | ||
Classic presentation:<ref name=pmid24070152>{{Cite journal | last1 = Tadros | first1 = M. | last2 = Majumder | first2 = S. | last3 = Birk | first3 = JW. | title = A review of ischemic colitis: is our clinical recognition and management adequate? | journal = Expert Rev Gastroenterol Hepatol | volume = 7 | issue = 7 | pages = 605-13 | month = Sep | year = 2013 | doi = 10.1586/17474124.2013.832485 | PMID = 24070152 }}</ref> | |||
*Abdominal pain. | *Abdominal pain. | ||
*Urgency to defecate (tenesmus). | *Urgency to defecate (tenesmus). | ||
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Note: | Note: | ||
*Diarrhea may be non-bloody. | *Diarrhea may be non-bloody. | ||
**This is a poor prognosticator<ref name=pmid20961178>{{Cite journal | last1 = Montoro | first1 = MA. | last2 = Brandt | first2 = LJ. | last3 = Santolaria | first3 = S. | last4 = Gomollon | first4 = F. | last5 = Sánchez Puértolas | first5 = B. | last6 = Vera | first6 = J. | last7 = Bujanda | first7 = L. | last8 = Cosme | first8 = A. | last9 = Cabriada | first9 = JL. | title = Clinical patterns and outcomes of ischaemic colitis: results of the Working Group for the Study of Ischaemic Colitis in Spain (CIE study). | journal = Scand J Gastroenterol | volume = 46 | issue = 2 | pages = 236-46 | month = Feb | year = 2011 | doi = 10.3109/00365521.2010.525794 | PMID = 20961178 }}</ref> and possibly increases likelihood of not identifying it in time. | **This is a poor prognosticator<ref name=pmid20961178>{{Cite journal | last1 = Montoro | first1 = MA. | last2 = Brandt | first2 = LJ. | last3 = Santolaria | first3 = S. | last4 = Gomollon | first4 = F. | last5 = Sánchez Puértolas | first5 = B. | last6 = Vera | first6 = J. | last7 = Bujanda | first7 = L. | last8 = Cosme | first8 = A. | last9 = Cabriada | first9 = JL. | title = Clinical patterns and outcomes of ischaemic colitis: results of the Working Group for the Study of Ischaemic Colitis in Spain (CIE study). | journal = Scand J Gastroenterol | volume = 46 | issue = 2 | pages = 236-46 | month = Feb | year = 2011 | doi = 10.3109/00365521.2010.525794 | PMID = 20961178 }}</ref> and possibly increases the likelihood of not identifying it in time. | ||
==Gross== | ==Gross== | ||