| Theme |
Bloody stools in non -- IBD intestinal disorders |
| Title |
Ischemic enterocolitis |
| Author |
Naoki Hosoe |
Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Keio University |
| Author |
Haruhiko Ogata |
Center for Diagnostic and Therapeutic Endoscopy, School of Medicine, Keio University |
| Author |
Hiroyuki Imaeda |
Center for Diagnostic and Therapeutic Endoscopy, School of Medicine, Keio University |
| Author |
Rieko Bessho |
Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Keio University |
| Author |
Riko Saito |
Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Keio University |
| Author |
Yousuke Ida |
Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Keio University |
| Author |
Nagamu Inoue |
Center for Diagnostic and Therapeutic Endoscopy, School of Medicine, Keio University |
| Author |
Yasushi Iwao |
Center for Diagnostic and Therapeutic Endoscopy, School of Medicine, Keio University |
| Author |
Toshifumi Hibi |
Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Keio University |
| [ Summary ] |
Ischemic colitis is defined as being comprised of lesions with reversible and localized ischemia, due to microcirculatory disturbances, without occlusion of the main abdominal artery. Bowel habits and arteriosclerosis are thought to be causes of this condition. Ischemic colitis is diagnosed through blood tests and/or abdominal computed tomography, as well as colonoscopy or barium enemas. In the acute stages, colonoscopy is useful for diagnosis. Associated images show vasodilatation, redness, scale-patterns, pseudomembrane-like appearance, as well as cyanotic appearance in the colonic mucosa. In ischemic colitis cases with gangrene, the basic treatment is surgical resection of the necrotic tissue. In other forms of this condition, treatment consists of nothing per os or other means to replace fluids, in order to provide rest for the intestines. |