| Theme | Gastrointestinal Disease Due to Blood Flow Damage | |
|---|---|---|
| Title | Ischemic Enteritis | |
| Publish Date | 2019/01 | |
| Author | Junji Umeno | Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University |
| Author | Atsushi Hirano | Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University |
| Author | Takehiro Torisu | Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University |
| Author | Motohiro Esaki | Department of Endoscopic Diagnostics and Therapeutics, Saga University Hospitaly |
| [ Summary ] | Ischemic enteritis is a disease entity that includes heterogeneous diseases that cause small bowel lesions secondary to insufficient blood flow. It is usually classified as the idiopathic and the secondary types, and the latter variety is associated with various diseases. Notably, the idiopathic type is rare. Ischemic enteritis usually affects middle-aged or elderly men with comorbidities including hypertension, ischemic heart disease, and diabetes mellitus. Abdominal computed tomography, small bowel radiography, and enteroscopy with biopsy are useful diagnostic tools in patients with this condition. Patients with confirmed emboli should be treated with fluid resuscitation; however, bowel rest with fluid replacement is a standard therapy in patients with idiopathic ischemic enteritis. Surgical treatment is required in patients who develop severe irreversible stenosis. | |