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Clin Colon Rectal Surg 2015; 28(02): 093-098
DOI: 10.1055/s-0035-1549099
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Ischemic Colitis

James F. FitzGerald
1   Section of Colon and Rectal Surgery, MedStar Washington Hospital Center, Washington, District of Columbia
,
Luis O. Hernandez III
1   Section of Colon and Rectal Surgery, MedStar Washington Hospital Center, Washington, District of Columbia
› Author Affiliations
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Publication History

Publication Date:
25 May 2015 (online)

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Abstract

Most clinicians associate ischemic colitis with elderly patients who have underlying cardiovascular comorbidities. While the majority of cases probably occur in this population, the disease can present in younger patients as a result of different risk factors, making the diagnosis challenging. While a majority of patients respond to medical management, surgery is required in approximately 20% of the cases and is associated with high morbidity and mortality.

Keywords

ischemic colitis - colectomy - colonoscopy - lower gastrointestinal bleed
 

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