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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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Pubmed Style

Cristian Mesina, Theodor Viorel Dumitrescu, Cosmin Vasile Obleaga, Daniela Ciobanu. Ischemic colitis problems of diagnosis and treatment. Arch Clin Exp Surg. 2018; 7(2): 59-64. doi:10.5455/aces.20170816073935


Web Style

Cristian Mesina, Theodor Viorel Dumitrescu, Cosmin Vasile Obleaga, Daniela Ciobanu. Ischemic colitis problems of diagnosis and treatment. http://www.ejmaces.com/?mno=269887 [Access: November 13, 2018]. doi:10.5455/aces.20170816073935


AMA (American Medical Association) Style

Cristian Mesina, Theodor Viorel Dumitrescu, Cosmin Vasile Obleaga, Daniela Ciobanu. Ischemic colitis problems of diagnosis and treatment. Arch Clin Exp Surg. 2018; 7(2): 59-64. doi:10.5455/aces.20170816073935



Vancouver/ICMJE Style

Cristian Mesina, Theodor Viorel Dumitrescu, Cosmin Vasile Obleaga, Daniela Ciobanu. Ischemic colitis problems of diagnosis and treatment. Arch Clin Exp Surg. (2018), [cited November 13, 2018]; 7(2): 59-64. doi:10.5455/aces.20170816073935



Harvard Style

Cristian Mesina, Theodor Viorel Dumitrescu, Cosmin Vasile Obleaga, Daniela Ciobanu (2018) Ischemic colitis problems of diagnosis and treatment. Arch Clin Exp Surg, 7 (2), 59-64. doi:10.5455/aces.20170816073935



Turabian Style

Cristian Mesina, Theodor Viorel Dumitrescu, Cosmin Vasile Obleaga, Daniela Ciobanu. 2018. Ischemic colitis problems of diagnosis and treatment. Archives of Clinical and Experimental Surgery (ACES), 7 (2), 59-64. doi:10.5455/aces.20170816073935



Chicago Style

Cristian Mesina, Theodor Viorel Dumitrescu, Cosmin Vasile Obleaga, Daniela Ciobanu. "Ischemic colitis problems of diagnosis and treatment." Archives of Clinical and Experimental Surgery (ACES) 7 (2018), 59-64. doi:10.5455/aces.20170816073935



MLA (The Modern Language Association) Style

Cristian Mesina, Theodor Viorel Dumitrescu, Cosmin Vasile Obleaga, Daniela Ciobanu. "Ischemic colitis problems of diagnosis and treatment." Archives of Clinical and Experimental Surgery (ACES) 7.2 (2018), 59-64. Print. doi:10.5455/aces.20170816073935



APA (American Psychological Association) Style

Cristian Mesina, Theodor Viorel Dumitrescu, Cosmin Vasile Obleaga, Daniela Ciobanu (2018) Ischemic colitis problems of diagnosis and treatment. Archives of Clinical and Experimental Surgery (ACES), 7 (2), 59-64. doi:10.5455/aces.20170816073935





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