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Ischemic Colitis

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Emergency General Surgery

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Abstract

Ischemic colitis (IC) is the most common form of ischemic injury to the gastrointestinal tract. Its annual incidence is approximately 1.6 patients per 100,000and has remained constant for decades. IC is the etiology of acute lower GI bleeding in 9–24% of hospitalized patients and affects up to 18/100,000 hospitalized patients. Often IC is transient with reversible clinical symptoms. There are two common subtypes of IC: severe (15%) and more commonly mild-moderate (85%). Severe IC has transmural necrosis and is often associated with multisystem organ failure (MOF). The other variety rarely presents with MOF. Most cases occur spontaneously, although some may occur after a cardiac event or in the postoperative period, commonly after aortic and cardiac surgery. Ischemic colitis affects a wide variety of patients especially the elderly. It is poorly studied despite being relatively common. As the population ages, it will likely be more commonly encountered.

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Authors and Affiliations

  1. Department of General Surgery, Trauma and Acute Medical Care, Yale University, New Haven, CT, USA

    Dirk C. Johnson

  2. Department of Surgery, Yale School of Medicine, New Haven, CT, USA

    Kimberly A. Davis

Authors
  1. Dirk C. Johnson
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  2. Kimberly A. Davis
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Correspondence to Dirk C. Johnson .

Editor information

Editors and Affiliations

  1. Dell Medical School, University of Texas at Austin, Austin, TX, USA

    Carlos V. R. Brown

  2. Trauma and Surgical Critical Care, University of Southern California, Los Angeles, CA, USA

    Kenji Inaba

  3. Madigan Army Medical Center, Tacoma, WA, USA

    Matthew J. Martin

  4. Brigham and Womens’s Hospital, Harvard Medical School, Boston, MA, USA

    Ali Salim

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Johnson, D.C., Davis, K.A. (2019). Ischemic Colitis. In: Brown, C., Inaba, K., Martin, M., Salim, A. (eds) Emergency General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-96286-3_26

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  • DOI: https://doi.org/10.1007/978-3-319-96286-3_26

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-96285-6

  • Online ISBN: 978-3-319-96286-3

  • eBook Packages: MedicineMedicine (R0)

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