A Population-based Study of Incidence, Risk Factors, Clinical Spectrum, and Outcomes of Ischemic Colitis
Open accessAbstract
Background & aims Little is known about progression of ischemic colitis (IC) among unselected patients. We aimed to estimate the incidence, risk factors, and natural history of IC in a population-based cohort in Olmsted County, Minnesota.Methods We performed a retrospective population-based cohort and nested case-control study of IC. Each IC case was matched to 2 controls from the same population on the basis of sex, age, and closest registration number. Conditional logistic regression, the Kaplan-Meier method, and proportional hazards regression were used to assess comorbidities, estimate survival, and identify characteristics associated with survival, respectively.Results Four hundred forty-five county residents (median age, 71.6 years; 67% female) were diagnosed with IC from 1976 through 2009 and were matched with 890 controls. The age-adjusted and sex-adjusted incidence rates of IC nearly quadrupled from 6.1 cases/100,000 person-years in 1976-1980 to 22.9/100,000 in 2005-2009. The odds for IC were significantly higher among subjects with atherosclerotic diseases; odds ratios ranged from 2.6 for individuals with coronary disease to 7.9 for individuals with peripheral vascular disease. Of IC cases, 59% survived for 5 years (95% confidence interval, 54%-64%), compared with 90% of controls (95% confidence interval, 88%-92%). Age >40 years, male sex, right-sided colon involvement, concomitant small bowel involvement, and chronic obstructive pulmonary disease were all independently associated with mortality (P < .05).Conclusions The incidence of IC increased during the past 3 decades in a population-based cohort in Minnesota. IC typically presents in older patients with multiple comorbidities and is associated with high in-hospital mortality (11.5%) and rates of surgery (17%).
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The overall age-adjusted and sex-adjusted incidence of colon ischemia was about 6.1 cases per 100000 person-years in 1976-1980.
“One study showed that the overall age-adjusted and sex-adjusted incidence of CI was about 6.1 cases per 100000 person-years in 1976-1980 and it increased by about 4-fold to 22.9/100000 person-years over the course of few decades (2005-2009)[1].”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [1]
The incidence of colon ischemia increased about 4-fold to 22.9 per 100000 person-years in 2005-2009.
“One study showed that the overall age-adjusted and sex-adjusted incidence of CI was about 6.1 cases per 100000 person-years in 1976-1980 and it increased by about 4-fold to 22.9/100000 person-years over the course of few decades (2005-2009)[1].”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [1]
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Development and Validation of a Risk Scoring Model for Early Prediction of Severe Colon Ischemia
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CURRENT CONCEPTS OF ETIOLOGY, DIAGNOSIS, AND SURGICAL TREATMENT OF PERFORATED DUODENAL ULCER
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Leukocytes and creatinine may predict severity and guide management of ischemic colitis
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Analysis of clinical characteristics of 117 cases of ischemic colitis
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Oral bowel cleansers and ischemic colitis risk: A real-world disproportionality analysis
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Liao, J., Chan, Y., Kuo, L., Tsai, C.-T., Lim, S., & Chao, T. (2022) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2022.874460 · Cited by 4 · see citing works
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The Uncertain Effect of Antimicrobial Therapy in the Treatment of Patients with Ischemic Colitis
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Wongpongsalee, T., Khrucharoen, U., Jensen, D. M., Jutabha, R., Jensen, M. E., & Thibodeau, G. (2022) · Langenbeck s Archives of Surgery · doi:10.1007/s00423-022-02441-8 · Cited by 4 · see citing works
Ischemic colitis as a cause of severe hematochezia: A mini review
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Healthcare professionals' knowledge, attitude and practice towards ischemic bowel disease
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Acute vascular insufficiency of intestine: incidence highest in summer, outcomes worst in winter
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Mahfouz, R. T., Kozai, L., Obeidat, A. E., Darweesh, M., Mansour, M. M., Douglas, M. F., & Berthiaume, E. P. (2022) · Cureus · doi:10.7759/cureus.24308 · Cited by 3 · see citing works
Right-Sided Colon Ischemia and Acute Mesenteric Insufficiency: Are They Separate Entities?
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The Impact of COVID-19 on Outcomes of Ischemic Colitis: A Nationwide Retrospective Analysis
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Prevalence and predictive value of sarcopenia in hospitalized patients with ischemic colitis
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Gastrointestinal Bleeding in the Older Adult: Pathophysiology, Evaluation, and Management
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Acute ischemic colitis associated with oral decongestant use: a systematic review
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Operative management of immune checkpoint colitis following in-transit melanoma: Case report
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Dickdarmerkrankungen in Computertomographie und Magnetresonanztomographie
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Contrast-induced ischemic colitis following coronary angiography: A case report
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Long-term aspirin use in patients hospitalized with ischemic colitis
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EROSIVE ULCERATIVE INTESTINAL ISCHEMIA
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Colonic Stricture Secondary to Recurrent Ischemic Colitis
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Antihypertensive Drugs, Hypotension, and Ischemic Colitis
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ISCHEMIC COLITIS: FEATURES OF THE CLINIC, DIAGNOSIS AND TREATMENT
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Indigo naturalis‑associated ischemic injury of colorectal mucosa: A case series study
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Calprotectin as a Novel Biomarker for Ischemic Colitis: Experimental Insights in a Rat Model
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Colonic Ischemia Following Semaglutide Use: A Case Report
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Ischemic Colitis Caused by Bowel Preparation for Colonoscopy
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- Authors
- Yadav, S., Dave, M., Edakkanambeth Varayil, J., Harmsen, W. S., Tremaine, W. J., Zinsmeister, A. R., Sweetser, S. R., Melton, L. J., Sandborn, W. J., & Loftus, E. V.
- Affiliations
- Mayo Clinic (US)
- University of California San Diego (US)
- Corresponding author
- Loftus, Edward V.
- Venue
- Clinical Gastroenterology and Hepatology
- Publisher
- Elsevier BV
- Published
- 2015-04
- Volume
- 13
- Issue
- 4
- Pages
- 731-738.e6
- ISSN
- 1542-3565 (ISSN-L)
- PMC
- PMC4326614
- OpenAlex
- W2045982028
- Cited by
- 164
- References
- 33
- Citations by year
- 2026: 11 · 2025: 20 · 2024: 10 · 2023: 18 · 2022: 11 · 2021: 19 · 2020: 13 · 2019: 28 · 2018: 8 · 2017: 9 · 2016: 6 · 2015: 11
- FWCI
- 8.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical Gastroenterology and Hepatology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01AG034676)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Thrombus and Embolism
- Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
- Keywords
- ischemic colitis, incidence, risk factors, natural history (disease), survival, mortality, atherosclerosis, coronary disease, peripheral vascular disease, chronic obstructive pulmonary disease, small bowel involvement, comorbidities, Olmsted County, Minnesota
- MeSH terms
- Adult, Age Factors, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Minnesota, Retrospective Studies, Risk Factors, Cohort Studies, Comorbidity, Incidence, Survival Analysis, Case-Control Studies, Treatment Outcome, Colitis, Ischemic, Young Adult
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