Predictors of severity in ischemic colitis: Usefulness of early ultrasonography

Pastor-Juan, Maria del Rosario; Ripollés, Tomás; Martí‐Bonmatí, Luis; Martínez, María Jesús; Simó, Luis; Gomez, Diana; Revert, R.

doi:10.1016/j.ejrad.2017.09.003

Cited by 16 publications

(14 citation statements)

References 22 publications

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“…Lopez et al [41] found that the positive predictive value (PPV) of abdominal ultrasound in detection of IC was 87.5%. A retrospective study reported that the predictive model consisting of sonographic features and clinical findings could accurately predict the outcomes of IC affliction and distinguish properly between patients with mild and severe cases of IC [42]. For high-risk cases or patients with contraindications, ultrasound can be regarded as an alternative diagnostic technique for colonoscopy.…”

Section: Imaging Examinationmentioning

confidence: 99%

Diagnostic methods and drug therapies in patients with ischemic colitis

Xiong

et al. 2020

Int J Colorectal Dis

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Purpose Ischemic colitis (IC) is the most prevalent ischemic injury of thegastrointestinal tract. Clinical features of IC such as acute abdominal pain, hematochezia,and diarrhea are similar to those of acute mesenteric ischemia, inflammatorybowel disease, or infectious bowel disease, and their relative ambiguity candelay diagnosis and treatment. To comprehensively detail the current state ofdiagnostic methods and available drug therapies for detecting and treating IC,this review aims to provide a concise and practical summary of thecorresponding literature. Methods PubMed and Cochrane Library were searched toretrieve all published studies reporting the diagnostic methods and drugtherapies in patients with ischemic colitis. The search strategy of drugtherapy includes human and animal data. Results Colonoscopy combined with histopathologicalbiopsy is the standard of diagnosis for the IC. Most patients respond well tothe conservative treatment, and surgical consultation is needed when conservativetreatment is ineffective. Studies of potential drug therapy have beendeveloped, including phosphodiesterase type 5 inhibitors, pentoxifylline,rebamipide, prostaglandin E1, and polydeoxyribonucleotide. Conclusion Accurate diagnoses and effective treatmentshave helped reduce the mortality rate and improve prognoses for patientsafflicted with IC, and corresponding drug therapies have been constantlyupdated as new research has emerged.

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Section: Imaging Examinationmentioning

confidence: 99%

Diagnostic methods and drug therapies in patients with ischemic colitis

Xiong

et al. 2020

Int J Colorectal Dis

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“…Ischemic colitis associated with lower intestinal bleedings require emergency colonoscopy, in order to establish the diagnosis and to perform local hemostasis. However, like in our case, it may not always reveal the active site of bleeding, particularly if the bowel is unprepared 10 . Other used diagnosis tools are abdominal echography (rarely used), computed tomography and histological examination [11][12][13] .…”

Section: Discussionmentioning

confidence: 48%

“…It usually presents with unspecific warning symptoms or signs, like low abdominal pain, inferior gastrointestinal bleeding, especially rectal bleeding, ileus, fever, generalized peritonitis or shock 9 . Del Rosario Pastor-Juan et al described that there are two important presentation forms for ischemic colitis: the gangrenous type (transmural colonic necrosis), which usually requires surgical intervention and is associated with poor outcome, and the transient form (reversible colonic lesions of mucosa or submucosa), with fewer complications, which usually responds well to conservative management 10 .…”

Section: Ischemic Colitis In a Patient With Chronic Kidney Failure: Cmentioning

confidence: 99%

Ischemic colitis in a patient with chronic kidney failure: case report

Ţigliş¹,

Bologa²,

Hurmuzache³

et al. 2020

Arch Balk Med Union

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“…Color Doppler flow may be absent or diminished in the bowel wall especially in the initial phase. An ischemic cause should be suspected in an appropriate clinical setting (elderly patients with sudden abdominal pain, with diarrhea or rectal bleeding), if sonographic examination detects wall thickening of a long colon segment (> 10 cm), particularly on the left side, with barely visible or no color Doppler signals [67,73,[121][122][123]. These findings have a high positive predictive value (90 %) for the diagnosis of IC [65,124].…”

Section: Ischemic Colitismentioning

confidence: 99%

“…CEUS may be used to assess perfusion in the bowel wall if there is any uncertainty in assessment with Doppler US (expert opinion). The altered perienteric fat has been associated with severe transmural necrosis [68,121,122,126]. IC, in the absence of transmural necrosis, is a self-limiting disease with quick recovery of the mucosal lesions.…”

Section: Ischemic Colitismentioning

confidence: 99%

Gastrointestinal Ultrasound (GIUS) in Intestinal Emergencies – An EFSUMB Position Paper

et al. 2020

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An interdisciplinary group of European experts summarizes the value of gastrointestinal ultrasound (GIUS) in the management of three time-critical causes of acute abdomen: bowel obstruction, gastrointestinal perforation and acute ischemic bowel disease. Based on an extensive literature review, statements for a targeted diagnostic strategy in these intestinal emergencies are presented. GIUS is best established in case of small bowel obstruction. Metanalyses and prospective studies showed a sensitivity and specificity comparable to that of computed tomography (CT) and superior to plain X-ray. GIUS may save time and radiation exposure and has the advantage of displaying bowel function directly. Gastrointestinal perforation is more challenging for less experienced investigators. Although GIUS in experienced hands has a relatively high sensitivity to establish a correct diagnosis, CT is the most sensitive method in this situation. The spectrum of intestinal ischemia ranges from self-limited ischemic colitis to fatal intestinal infarction. In acute arterial mesenteric ischemia, GIUS may provide information, but prompt CT angiography is the gold standard. On the other end of the spectrum, ischemic colitis shows typical ultrasound features that allow correct diagnosis. GIUS here has a diagnostic performance similar to CT and helps to differentiate mild from severe ischemic colitis.

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Predictors of severity in ischemic colitis: Usefulness of early ultrasonography

Cited by 16 publications

References 22 publications

Diagnostic methods and drug therapies in patients with ischemic colitis

Diagnostic methods and drug therapies in patients with ischemic colitis

Ischemic colitis in a patient with chronic kidney failure: case report

Gastrointestinal Ultrasound (GIUS) in Intestinal Emergencies – An EFSUMB Position Paper

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