Document Detail


Can colonoscopy diagnose transmural ischaemic colitis after abdominal aortic surgery? An evidence-based approach.
MedLine Citation:
PMID:  10753696     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: to assess the diagnostic value of colonoscopy in ischaemic colitis following abdominal aortic surgery, based on a literature review, and to introduce the concept of evidence-based medicine. METHOD: a review of the literature according to evidence-based principles was made by all doctors of our department. RESULTS: seven prospective non-randomised reports on routine colonoscopy after abdominal aortic surgery were found. None of the participants found all the reports, and the last was identified by the reviewer. CONCLUSIONS: Endoscopy may disclose ischaemic colitis, but cannot separate transmural from the clinically less important mucosal ischaemia. Endoscopy had no impact on mortality in any of the prospective series. The evidence-based conference was an inspiring teaching modality, and illustrated for the participants the difficulty in performing a targeted literature search.
Authors:
T Houe; J E Thorböll; U Sigild; O Liisberg-Larsen; T V Schroeder
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Publication Detail:
Type:  Journal Article; Meta-Analysis    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  19     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-05-10     Completed Date:  2000-05-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  304-7     Citation Subset:  IM    
Copyright Information:
Copyright 2000 Harcourt Publishers Ltd.
Affiliation:
Department of Vascular Surgery, Rigshospitalet, Copenhagen, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Aorta, Abdominal / surgery*
Colitis, Ischemic / diagnosis*
Colonoscopy*
Evidence-Based Medicine*
Humans
Intestinal Mucosa / pathology
Postoperative Complications / diagnosis*
Prospective Studies
Reproducibility of Results
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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