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Ischemic colitis

MedGen UID:
57930
•Concept ID:
C0162529
•
Disease or Syndrome
Synonyms: Colitis, Ischemic; Ischemic Colitis
SNOMED CT: Colonic ischemia (30588004); Ischemic colitis (30588004)
 
Monarch Initiative: MONDO:0000701

Definition

Inflammation of the colon due to colonic ischemia resulting from alterations in systemic circulation or local vasculature. [from MONDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIschemic colitis

Professional guidelines

PubMed

Diagnosis and Management of Ischemic Colitis.
Fairen Oro C, Beresneva O
Dis Colon Rectum 2023 Jul 1;66(7):872-875. Epub 2023 Apr 24 doi: 10.1097/DCR.0000000000002913. PMID: 37088928
The Differential Diagnosis of Acute Colitis: Clues to a Specific Diagnosis.
Jessurun J
Surg Pathol Clin 2017 Dec;10(4):863-885. doi: 10.1016/j.path.2017.07.008. PMID: 29103537
Ischemic colitis: clinical practice in diagnosis and treatment.
Theodoropoulou A, Koutroubakis IE
World J Gastroenterol 2008 Dec 28;14(48):7302-8. doi: 10.3748/wjg.14.7302. PMID: 19109863Free PMC Article

Recent clinical studies

Etiology

Colonoscopy-related colonic ischemia.
Sadalla S, Lisotti A, Fuccio L, Fusaroli P
World J Gastroenterol 2021 Nov 14;27(42):7299-7310. doi: 10.3748/wjg.v27.i42.7299. PMID: 34876790Free PMC Article
Ischemic bowel disease in 2021.
Ahmed M
World J Gastroenterol 2021 Aug 7;27(29):4746-4762. doi: 10.3748/wjg.v27.i29.4746. PMID: 34447224Free PMC Article
Pseudomembranous colitis.
Farooq PD, Urrunaga NH, Tang DM, von Rosenvinge EC
Dis Mon 2015 May;61(5):181-206. Epub 2015 Mar 11 doi: 10.1016/j.disamonth.2015.01.006. PMID: 25769243Free PMC Article
Ischemic colitis complicating major vascular surgery.
Steele SR
Surg Clin North Am 2007 Oct;87(5):1099-114, ix. doi: 10.1016/j.suc.2007.07.007. PMID: 17936477
Ischemic colitis.
Gandhi SK, Hanson MM, Vernava AM, Kaminski DL, Longo WE
Dis Colon Rectum 1996 Jan;39(1):88-100. doi: 10.1007/BF02048275. PMID: 8601363

Diagnosis

Ischemic bowel disease in 2021.
Ahmed M
World J Gastroenterol 2021 Aug 7;27(29):4746-4762. doi: 10.3748/wjg.v27.i29.4746. PMID: 34447224Free PMC Article
Diagnostic methods and drug therapies in patients with ischemic colitis.
Xu Y, Xiong L, Li Y, Jiang X, Xiong Z
Int J Colorectal Dis 2021 Jan;36(1):47-56. Epub 2020 Sep 16 doi: 10.1007/s00384-020-03739-z. PMID: 32936393Free PMC Article
The Differential Diagnosis of Acute Colitis: Clues to a Specific Diagnosis.
Jessurun J
Surg Pathol Clin 2017 Dec;10(4):863-885. doi: 10.1016/j.path.2017.07.008. PMID: 29103537
Ischemic colitis: clinical practice in diagnosis and treatment.
Theodoropoulou A, Koutroubakis IE
World J Gastroenterol 2008 Dec 28;14(48):7302-8. doi: 10.3748/wjg.14.7302. PMID: 19109863Free PMC Article
Ischemic colitis complicating major vascular surgery.
Steele SR
Surg Clin North Am 2007 Oct;87(5):1099-114, ix. doi: 10.1016/j.suc.2007.07.007. PMID: 17936477

Therapy

NSAID-induced ischemic colitis.
Sierra Gabarda O, Espinosa Pérez M, Casas Deza D, Lamuela Calvo LJ, Llorente Barrio M, Monzón Báez RM, Sierra Moros E, Alcedo González J
Rev Esp Enferm Dig 2022 May;114(5):307. doi: 10.17235/reed.2022.8605/2022. PMID: 35067065
Ischaemic colitis.
Trotter JM, Hunt L, Peter MB
BMJ 2016 Dec 22;355:i6600. doi: 10.1136/bmj.i6600. PMID: 28007701
Ischemic colitis: clinical practice in diagnosis and treatment.
Theodoropoulou A, Koutroubakis IE
World J Gastroenterol 2008 Dec 28;14(48):7302-8. doi: 10.3748/wjg.14.7302. PMID: 19109863Free PMC Article
Ischemic colitis complicating major vascular surgery.
Steele SR
Surg Clin North Am 2007 Oct;87(5):1099-114, ix. doi: 10.1016/j.suc.2007.07.007. PMID: 17936477
Functional diarrhea.
Farthing MJ
Curr Gastroenterol Rep 2005 Oct;7(5):350-7. doi: 10.1007/s11894-005-0003-3. PMID: 16168232

Prognosis

Insights into acute mesenteric ischaemia: an up-to-date, evidence-based review from a mesenteric stroke centre unit.
Garzelli L, Ben Abdallah I, Nuzzo A, Zappa M, Corcos O, Dioguardi Burgio M, Cazals-Hatem D, Rautou PE, Vilgrain V, Calame P, Ronot M
Br J Radiol 2023 Nov;96(1151):20230232. Epub 2023 Jul 26 doi: 10.1259/bjr.20230232. PMID: 37493183Free PMC Article
Diagnostic methods and drug therapies in patients with ischemic colitis.
Xu Y, Xiong L, Li Y, Jiang X, Xiong Z
Int J Colorectal Dis 2021 Jan;36(1):47-56. Epub 2020 Sep 16 doi: 10.1007/s00384-020-03739-z. PMID: 32936393Free PMC Article
Diverticulitis: An Update From the Age Old Paradigm.
Hawkins AT, Wise PE, Chan T, Lee JT, Glyn T, Wood V, Eglinton T, Frizelle F, Khan A, Hall J, Ilyas MIM, Michailidou M, Nfonsam VN, Cowan ML, Williams J, Steele SR, Alavi K, Ellis CT, Collins D, Winter DC, Zaghiyan K, Gallo G, Carvello M, Spinelli A, Lightner AL
Curr Probl Surg 2020 Oct;57(10):100862. Epub 2020 Jul 18 doi: 10.1016/j.cpsurg.2020.100862. PMID: 33077029Free PMC Article
Pseudomembranous colitis.
Farooq PD, Urrunaga NH, Tang DM, von Rosenvinge EC
Dis Mon 2015 May;61(5):181-206. Epub 2015 Mar 11 doi: 10.1016/j.disamonth.2015.01.006. PMID: 25769243Free PMC Article
Miscellaneous colitides.
Pardi DS
Curr Opin Gastroenterol 2012 Jan;28(1):76-81. doi: 10.1097/MOG.0b013e32834dda3b. PMID: 22123646

Clinical prediction guides

Rapid Endoscopic Diagnosis of Benign Ulcerative Colorectal Diseases With an Artificial Intelligence Contextual Framework.
Luo X, Wang J, Tan C, Dou Q, Han Z, Wang Z, Tasnim F, Wang X, Zhan Q, Li X, Zhou Q, Cheng J, Liao F, Yip HC, Jiang J, Tan RT, Liu S, Yu H
Gastroenterology 2024 Aug;167(3):591-603.e9. Epub 2024 Apr 5 doi: 10.1053/j.gastro.2024.03.039. PMID: 38583724
Aberrant MUC Immunohistochemical Expressions in Inflammatory Bowel Diseases.
Hamamoto Y, Kawamura M, Uchida H, Takagahara K, Katori C, Asai H, Harada H, Shimizu S, Morii E, Yoshida K
Appl Immunohistochem Mol Morphol 2023 Feb 1;31(2):107-112. Epub 2022 Dec 28 doi: 10.1097/PAI.0000000000001096. PMID: 36728756
Is It a Crohn's Disease?
Qu JY, Li Z
Gastroenterology 2021 Apr;160(5):1477-1478. Epub 2020 Dec 19 doi: 10.1053/j.gastro.2020.11.055. PMID: 33347882
Diverticulitis: An Update From the Age Old Paradigm.
Hawkins AT, Wise PE, Chan T, Lee JT, Glyn T, Wood V, Eglinton T, Frizelle F, Khan A, Hall J, Ilyas MIM, Michailidou M, Nfonsam VN, Cowan ML, Williams J, Steele SR, Alavi K, Ellis CT, Collins D, Winter DC, Zaghiyan K, Gallo G, Carvello M, Spinelli A, Lightner AL
Curr Probl Surg 2020 Oct;57(10):100862. Epub 2020 Jul 18 doi: 10.1016/j.cpsurg.2020.100862. PMID: 33077029Free PMC Article
Intestinal ischemia.
Dee SL, Butt K, Ramaswamy G
Arch Pathol Lab Med 2002 Oct;126(10):1201-4. doi: 10.5858/2002-126-1201-II. PMID: 12296759

Recent systematic reviews

Surgical prevalence and outcomes in ischemic colitis: A systematic review and meta-analysis.
Qian W, Bruinsma J, Mac Curtain B, Ibraheem M, Temperley HC, Ng ZQ
World J Surg 2024 Apr;48(4):943-953. Epub 2024 Mar 5 doi: 10.1002/wjs.12123. PMID: 38441288
The association between irritable bowel syndrome and ischemic colitis: a systematic review and meta-analysis.
Wongtrakul W, Charoenngam N, Ungprasert P
Minerva Gastroenterol (Torino) 2022 Dec;68(4):470-474. Epub 2021 Sep 22 doi: 10.23736/S2724-5985.21.02957-0. PMID: 34547858
The Pathophysiology, Presentation and Management of Ischaemic Colitis: A Systematic Review.
Demetriou G, Nassar A, Subramonia S
World J Surg 2020 Mar;44(3):927-938. doi: 10.1007/s00268-019-05248-9. PMID: 31646369
Systematic review of the management of ischaemic colitis.
O'Neill S, Yalamarthi S
Colorectal Dis 2012 Nov;14(11):e751-63. doi: 10.1111/j.1463-1318.2012.03171.x. PMID: 22776101
Systematic review: the epidemiology of ischaemic colitis.
Higgins PD, Davis KJ, Laine L
Aliment Pharmacol Ther 2004 Apr 1;19(7):729-38. doi: 10.1111/j.1365-2036.2004.01903.x. PMID: 15043513

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