Ischemic colitis other diagnostic studies

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]

Overview

Among patients with a suspicion of ischemic colitis, endoscopic evaluation, via colonoscopy or flexible sigmoidoscopy, is the diagnostic procedure of choice if the diagnosis remains unclear after other imaging studies. Colonoscopy is sensitive and allows visualization of colonic mucosa and histological analysis of biopsies. Colonoscopy requires to be performed within 48 hours for diagnosis of ischemic colitis.

Endoscopy

The endoscopy results for ischemic colitis are as follows:[1][2]

  • Early endoscopy can confirm the diagnosis and provides prognostic information.
    • Distinguishes between cases that need conservative management versus those that require emergency resection.

Colonoscopy

References

  1. MacDonald, P.H. (2002). "Ischaemic colitis". Best Practice & Research Clinical Gastroenterology. 16 (1): 51–61. ISSN 1521-6918. doi:10.1053/bega.2001.0265. 
  2. 2.0 2.1 Theodoropoulou, Αngeliki; Κoutroubakis, Ioannis E (2008). "Ischemic colitis: Clinical practice in diagnosis and treatment". World Journal of Gastroenterology. 14 (48): 7302. ISSN 1007-9327. doi:10.3748/wjg.14.7302. 
  3. Washington, Christopher; Carmichael, Joseph (2012). "Management of Ischemic Colitis". Clinics in Colon and Rectal Surgery. 25 (04): 228–235. ISSN 1531-0043. doi:10.1055/s-0032-1329534. 

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