| Theme |
Ischemic Colitis -- Current Topics |
| Title |
Medical Treatment for Ischemic Colitis |
| Author |
Yukihiko Jo |
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University |
| Author |
Takayuki Matsumoto |
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University |
| Author |
Mitsuo Iida |
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University |
| [ Summary ] |
According to severity and radiological features, ishcemic colitis has been classified into three forms: the transient form, the stricturing form, and the gangrenous form. The gangrenous form requires immediate exploratory laparotomy and resection of the necrotic segment of the colon. In the acute phase of the transient and stricturing forms, the disease is resolved by intravenous infusion, prohibiting oral intake, and, if necessary, by antispasmodic drugs. Oral intake is permitted when physical examination and clinical parameters improve. In the chronic phase, barium studies or colonoscopy should be performed to discriminate the stricturing form the transient type. In the stricturing form, the stenotic segment of the colon can be expected to dilate in due course. Most patients with ishcemic colitis manifest a self-limitting clinical course, and have an excellent prognosis in response to medical treatment. |