Experience and results on the surgical and medical treatment of ischaemic colitis
| Autor: | V, Pla Martí, R, Alós Company, M D, Ruiz Carmona, A, Solana Bueno, J V, Roig Vila |
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| Rok vydání: | 2001 |
| Předmět: | |
| Zdroj: | Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva. 93(8) |
| ISSN: | 1130-0108 1991-1998 |
| Popis: | To analyse differences between patients with transient forms of ischemic colitis managed with medical treatment and those developing gangrenous forms subsidiaries of surgical treatment.Retrospective study (1991-1998) of the ischemic colitis cases occurred in our center separating into two groups according to treatment received (A group: medical, 19 patients; B group: surgical, 10 patients).Hypertension mainly appear in B group being average age higher in this group than in A group (p0.05). Other risk factors analysed such as diabetes, cardiovascular disease, renal failure or consume of different drugs appear in similar way in both groups. In A group patients clinical presentation hematochezia is typical while B group use to start with acute abdomen associated to abdominal distension and hyperleukocytosis (p0.05). In group B average estance, morbidity and mortality have been higher than in A (17.4 vs 8.6 days 70 vs 5%, 40 vs 0%, respectively).Hypertension and advanced age are associated risk factors of gangrenous ischemic colitis. The classic clinical presentation of abdominal pain and hematochezia is typical in transient forms. Patients who need a surgical operation for ischemic colitis have a high morbimortality. |
| Databáze: | OpenAIRE |
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