Prognosis and follow-up of 135 patients with ischemic colitis over a five-year period

Abstract

The five-year recurrence rate of IC was low. On the other hand, mortality during follow-up was high and was not associated with ischemic colitis.

The predictors of the severity of ischaemic colitis: a systematic review of 2823 patients from 22 studies

“…On univariate or multivariate analysis, 10 studies [4,5,17,21,22,24,[29][30][31][32] showed that right sided IC was a risk factor of a poor prognosis. In the study by Sotiriadis et al [22], right colonic involvement was associated with a fivefold higher rate of surgery and twice the mortality compared with other locations.…”

“…Among these the incidence of poor prognosis was 48.4% (134/277), compared with 12.1% (142/ 1175) of patients without right colonic involvement (P = 0.000) ( Table 4). Ten of the 13 studies [4,5,17,21,22,24,[29][30][31][32] reported that right sided IC was a risk factor for a poor prognosis. Clinical heterogeneity among the studies in Table 5 included lack of uniformity of the definition of the anatomical distribution of disease.…”

“…Anatomy definition of location Arnott et al 1999 [33] Right sided, splenic flexure, recto-sigmoid and extensive Flobert et al 2000 [21] Right, transverse and left Medina et al 2004 [30] Right, transverse, splenic flexure and left Sotiriadis et al 2007 [22] Isolated right colon ischaemia (IRCI) and those with colon ischaemia not involving the right colon in an isolated fashion (non-IRCI) Longstreth and Yao 2009 [5] Right side (ascending with or without caecum and transverse), bilateral with transverse, and transverse, left side (sigmoid with or without rectum, descending and transverse) Brandt et al 2010 [4] Right colon, transverse colon, left colon, distal colon and pancolonic involvement Won Chung et al 2010 [14] Right colon, transverse colon, left colon, rectum Mosele et al 2010 [31] Right, transverse, splenic flexure, left and sigmoid Montoro et al 2011 [17] Rectum, sigmoid, descending colon, transverse colon, hepatic flexure, ascending colon, caecum, pancolitis; IRCI was diagnosed when evidence of ischaemia was present in the right colon and no additional area of ischaemic damage was apparent distal to the hepatic flexure; non-IRCI was diagnosed when ischaemia involved any other region of the colon other than just the right colon Chang et al 2011 [29] Right and left, according to the main involvement area of the IC at the embryological boundary line of the distal transverse colon O'Neill et al 2012 [24] Right colonic involvement was defined as colonic segments proximal to the splenic flexure, including the caecum, ascending colon and transverse colon, and patterns were classified by the most proximal location of injury, but the full extent of disease was noted for each pattern Cosme et al 2013 [32] Pancolitis ≥ 2 locations; caecum, ascending colon, hepatic flexure, transverse colon, splenic colon, descending colon, sigmoid colon, rectum Sadot et al 2014 [23] Right colonic, transverse colonic, splenic flexure, left colonic, sigmoid, rectal involvement and pancolitis . Whether different levels of oestrogen in males and females lead to differences in IC prognosis needs further research.…”

Seasonal variation in occurrence of ischemic colitis: a retrospective study

“…Cosme et al. 34 reported mortalities due to IC in Spain of 5.9% at first admission and 7.4% 5 years later, and overall mortalities, including deaths from comorbidities, of 8.8% and 31.1%, respectively. These rates were high compared with those observed in the current study.…”

Right-Side Colon Ischemia: Clinical Features, Large Visceral Artery Occlusion, and Long-Term Follow-Up

“…22 Another report comments on 2 patients who died of recurrent colon ischemia after arterial stenting for chronic mesenteric ischemia, but clinical, angiographic, and other details are lacking. 23 Some authors now suggest angiography may be useful when acute mesenteric ischemia is also considered in association with colon ischemia or in some cases of RSCI. 24,25 To our knowledge, this is the first detailed report on symptomatic large visceral artery occlusion and its treatment in survivors of RSCI.…”