Can colonoscopy diagnose transmural ischaemic colitis after abdominal aortic surgery? An evidence-based approach

Autor: Torben V. Schroeder, JE Thorböll, T Houe, U Sigild, O Liisberg-Larsen
Rok vydání: 2001
Předmět:
Zdroj: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery. 19(3)
ISSN: 1078-5884
Popis: Objectives: to assess the diagnostic value of colonoscopy in ischaemic colitis following abdominal aortic surgery, based on a literature review, and to introduce the concept of evidence-based medicine. Method: a review of the literature according to evidence-based principles was made by all doctors of our department. Results: seven prospective non-randomised reports on routine colonoscopy after abdominal aortic surgery were found. None of the participants found all the reports, and the last was identified by the reviewer. Conclusions: Endoscopy may disclose ischaemic colitis, but cannot separate transmural from the clinically less important mucosal ischaemia. Endoscopy had no impact on mortality in any of the prospective series. The evidence-based conference was an inspiring teaching modality, and illustrated for the participants the difficulty in performing a targeted literature search.
Databáze: OpenAIRE