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Ischemic colitis problems of diagnosis and treatment

Cristian Mesina, Theodor Viorel Dumitrescu, Cosmin Vasile Obleaga, Daniela Ciobanu.

Abstract
Objective: The aim of the study is to evaluate the characteristics of colonic ischemia and to identfy clinicobiological factors.

Methods
We performed a retrospective study of 20 patients in whom the diagnosis was made intraoperatively and confirmed pathologically, between 2010 and 2015. We classified ischemic colitis into reversible and irreversible types (gangrenous colitis). The influence of factors such as medical history, symptoms, physical examination, laboratory abnormalities, perioperative issues, complications and mortality was evaluated.

Results
Irreversible ischemic colitis (gangrenous ischemic type) was found in 5 patients. Pancolitis was most commonly observed for fulminant gangrenous colitis. Analysis of the clinicobiological factors indicated four predictive factors for gangrenous colitis: abdominal tenderness, absence of hematochezia, absence of diarrhea and albumin level.

Conclusion
Absence of hematochezia and diarrhea, presence of abdominal tenderness and hypoalbuminemia could be predictive factors for gangrenous changes of ischemic colitis.

Key words: ischemic colitis, gangrenous colitis, pancolitis

 

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How to Cite this Article
Pubmed Style

Mesina C, Dumitrescu TV, Obleaga CV, Ciobanu D. Ischemic colitis problems of diagnosis and treatment. doi:10.5455/aces.20170816073935


Web Style

Mesina C, Dumitrescu TV, Obleaga CV, Ciobanu D. Ischemic colitis problems of diagnosis and treatment. http://www.acesjournal.org/?mno=269887 [Access: December 18, 2017]. doi:10.5455/aces.20170816073935


AMA (American Medical Association) Style

Mesina C, Dumitrescu TV, Obleaga CV, Ciobanu D. Ischemic colitis problems of diagnosis and treatment. doi:10.5455/aces.20170816073935


Vancouver/ICMJE Style

Mesina C, Dumitrescu TV, Obleaga CV, Ciobanu D. Ischemic colitis problems of diagnosis and treatment. doi:10.5455/aces.20170816073935


Harvard Style

Mesina, C., Dumitrescu, T. V., Obleaga, C. V. & Ciobanu, D. (2018) Ischemic colitis problems of diagnosis and treatment. doi:10.5455/aces.20170816073935


Turabian Style

Mesina, Cristian, Theodor Viorel Dumitrescu, Cosmin Vasile Obleaga, and Daniela Ciobanu. 2018. Ischemic colitis problems of diagnosis and treatment. doi:10.5455/aces.20170816073935


Chicago Style

Mesina, Cristian, Theodor Viorel Dumitrescu, Cosmin Vasile Obleaga, and Daniela Ciobanu. “Ischemic colitis problems of diagnosis and treatment.” doi:10.5455/aces.20170816073935


MLA (The Modern Language Association) Style

Mesina, Cristian, Theodor Viorel Dumitrescu, Cosmin Vasile Obleaga, and Daniela Ciobanu. “Ischemic colitis problems of diagnosis and treatment.” doi:10.5455/aces.20170816073935


APA (American Psychological Association) Style

Mesina, C., Dumitrescu, T. V., Obleaga, C. V. & Ciobanu, D. (2018) Ischemic colitis problems of diagnosis and treatment. doi:10.5455/aces.20170816073935