Clinical Gastroenterology Vol.17 No.12(2)

Theme Ischemic Colitis -- Current Topics
Title Triggers of Ischemic Enterocolitis
Publish Date 2002/11
Author Kiyotaka Okawa Department of Gastroenterology, Osaka City General Hospital
Author Tetsuya Aoki Department of Gastroenterology, Osaka City General Hospital
Author Hideto Oiya Department of Gastroenterology, Osaka City General Hospital
Author Kazuki Aomatsu Department of Gastroenterology, Osaka City General Hospital
Author Tomoo Yamasaki Department of Gastroenterology, Osaka City General Hospital
Author Hiroko Nebiki Department of Gastroenterology, Osaka City General Hospital
[ Summary ] Ischemic enterocolitis develops from a chronic pre-iscemic state and is triggered by various vascular and intestinal factors. Those triggers, particularly purgatives and colonoscopy, are discussed based on a review of the literature. The other triggers discussed include low flow states, oral contraceptives, vascular surgery, abdominal injury, constipation, enema, intestinal stenosis, intestinal flora, food, stress, and irritable bowel syndrome.
Although the mechanism of ischemic enterocolitis remains unknown, it may be possible in the future to elucidate it by accumulating cases of known etiology and eliciting possible triggers through in-depth medical interviews.
back