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Ischemic Colitis

Damage to the bowel wall resulting from inadequate blood supply to the colon.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Ischemic Colitis?

Ischemic colitis is the exposure of the bowel wall to ischemia as a result of a temporary or permanent decrease in colon perfusion. The splenic flexure and rectosigmoid region (watershed areas) are most commonly affected.

Low-flow conditions (hypotension, heart failure), atherosclerotic vascular disease, vasculitis, and conditions following aortic surgery are the main causes.

Most cases are non-transmural and transient (reversible) and respond to conservative treatment. The gangrenous form is an emergency with high mortality.

Symptoms

Sudden onset of left lower abdominal pain
Bloody or maroon-colored stool
Nausea
Urgency to defecate
Mild fever
Distension
Signs of peritonitis in gangrene

Risk Factors

Advanced age
Atherosclerotic vascular disease
Episodes of hypotension and heart failure
History of aortic surgery
Vasculitis and thrombophilia
Dialysis and shock
Some medications (digital, cocaine, NSAIDs)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden abdominal pain and bloody stool in elderly patient
  • Symptoms with uncontrolled diabetes and vascular disease
  • Abdominal pain after aortic surgery
  • Signs of peritonitis
  • Patient unable to tolerate fluids

Treatment Methods

01
Bowel rest, IV fluids and electrolytes
02
Broad-spectrum antibiotics
03
Vasopressors and measures to prevent low flow
04
Diagnostic and follow-up evaluation by colonoscopy
05
Emergency segmental colectomy in gangrenous cases
06
Management of underlying cardiovascular risk factors

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.