Transient ischaemic colitis following an aeroplane flight: two case reports and review of the literature

Butcher, James; Davis, Alison; A, Page; Green, B; Shepherd, H A

doi:10.1136/gut.51.5.746

Cited by 7 publications

(2 citation statements)

References 19 publications

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“…ingestion [12] and airplane flights in otherwise normal individuals without underlying coagulopathy [13].…”

Section: Epidemiology and Etiologymentioning

confidence: 99%

Diagnosis and management of ischemic colitis

Sreenarasimhaiah

2005

Curr Gastroenterol Rep

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The clinical presentation and outcome of ischemic colitis has a wide spectrum. Impaired perfusion of blood to the bowel from a variety of causes is the underlying pathophysiology. The presence of diarrhea, abdominal pain, and mild lower gastrointestinal bleeding should prompt consideration of ischemic colitis as a cause. Although many laboratory tests and radiographic images may suggest the diagnosis, endoscopic visualization of colonic mucosa with histologic analysis of biopsies is the gold standard for identification of colonic ischemia. Most cases are transient and resolve without any complications. Medical therapy for chronic ischemia has been anecdotally proven but not carefully studied. Complications of ischemic colitis can include bowel perforation, peritonitis, persistent bleeding, protein-losing colopathy, and symptomatic intestinal strictures. Thus, surgical resection of the affected segment should be considered early to minimize adverse outcomes. This review describes the etiology, pathophysiology, clinical features, diagnostic approach, and management of ischemic colitis.

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“…ingestion [12] and airplane flights in otherwise normal individuals without underlying coagulopathy [13].…”

Section: Epidemiology and Etiologymentioning

confidence: 99%

Diagnosis and management of ischemic colitis

Sreenarasimhaiah

2005

Curr Gastroenterol Rep

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“…16 When colonic ischemia is found in younger patients, there has been association with vasculitis, 17 drugs and medications, [18][19][20][21][22][23] sickle cell disease, 24 extreme exercise, 25,26 and even taking an airplane flight. 27 The right colon is more frequently involved for unknown reasons.…”

Section: Etiologymentioning

confidence: 99%

Management of Ischemic Colitis

Washington

Carmichael

2012

Clinics in Colon and Rectal Surgery

110

129

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Ischemic colitis is a commonly misunderstood clinical condition. Although the colon is the most common region of ischemia in the gastrointestinal tract, many surgeons have difficulty with diagnosis and treatment of ischemic colitis. The process can occur from either occlusive vascular disease or nonocclusive disease, and can be gangrenous or nongangrenous. Differentiating gangrenous from nongangrenous disease can be a difficult clinical challenge as both sets of patients generally present with abdominal pain and bloody diarrhea. Although the majority of patients have transient ischemia with nongangrenous colitis that can be successfully managed nonoperatively, prompt recognition and surgical intervention is critical in patients with gangrenous colitis. In this article, the diagnosis and treatment of ischemic colitis is reviewed with emphasis on a systematic, evidence-based approach to management.

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