| Intestinal (mesenteric) vasculopathy. II. Ischemic colitis and chronic mesenteric ischemia. | |
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MedLine Citation:
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PMID: 9890115 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Ischemic colitis accounts for approximately half of all cases of mesenteric vasculopathy. The clinical presentation varies depending on underlying cause, extent of vascular obstruction, rapidity of ischemic insult, degree of collateral circulation, and presence of comorbidity. Ischemic colitis is usually diagnosed by colonoscopy. Only approximately 20% of patients require surgery because of signs or laboratory findings of peritonitis or because of clinical deterioration. Approximately 20% of patients develop chronic colitis from irreversible colonic ischemic injury, which manifests clinically as persistent diarrhea, rectal bleeding, or weight loss and endoscopically as a colonic stricture or mass. Chronic mesenteric ischemia is almost always caused by significant atherosclerotic stenosis involving at least two mesenteric arteries, usually the superior mesenteric artery and celiac axis. The classic symptomatic triad of postprandial pain, fear of eating, and involuntary weight loss occurs with advanced disease. |
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Authors:
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M S Cappell |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Gastroenterology clinics of North America Volume: 27 ISSN: 0889-8553 ISO Abbreviation: Gastroenterol. Clin. North Am. Publication Date: 1998 Dec |
Date Detail:
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Created Date: 1999-02-09 Completed Date: 1999-02-09 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8706257 Medline TA: Gastroenterol Clin North Am Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 827-60, vi Citation Subset: IM |
Affiliation:
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Department of Medicine, Maimonides Medical Center, Brooklyn, New York, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Colitis, Ischemic* Humans Intestines / blood supply* Ischemia* Mesenteric Artery, Superior Mesenteric Vascular Occlusion* Mesenteric Veins Vascular Diseases* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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