The DOI matches its Crossref record; 65 of the 65 references it cites were found in a registry or an index.
Colonic ischemia: usual and unusual presentations and their management
Abstract
PURPOSE OF REVIEW: To provide an update on the epidemiology, pathophysiology, clinical presentation, and management of colonic ischemia. RECENT FINDINGS: Formerly regarded as a rare cause of lower gastrointestinal hemorrhage, colonic ischemia is now recognized to be the most common manifestation of intestinal vascular compromise. In contrast to ischemic events in the small intestine wherein thrombotic and embolic events predominate, colonic ischemia typically results from a global reduction in blood flow to the colon and no occlusive lesion(s) are evident. Several risk factors for colonic ischemia have been identified and, together with an appropriate clinical presentation and patient demographics, create a context in which the clinician should have a high level of suspicion for its presence. Imaging with computerized tomography, in particular, may be highly supportive of the diagnosis, which where appropriate can be confirmed by colonoscopy and colonic biopsy. For most patients, management is supportive and noninterventional, and the prognosis for recurrence and survival are excellent. SUMMARY: Colonic ischemia is a common cause of lower abdominal pain and hemorrhage among the elderly typically occurring in the aftermath of an event which led to hypoperfusion of the colon. For most affected individuals the ischemia is reversible and clinical course benign.
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“But CI can also be classified as mild, moderate and severe disease depending on the presence or absence of certain risk factors associated with poor outcome as proposed by the American College of Gastroenterology (ACG) in 2015[109].”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [109]
Citations
Cites
AGA technical review on intestinal ischemia
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Hepatitis B Virus-Associated Polyarteritis Nodosa
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Brandt, L. J., Feuerstadt, P., Longstreth, G. F., & Boley, S. J. (2015) · American Journal of Gastroenterology · doi:10.1038/ajg.2014.395 · Cited by 377
Ischemic colitis: Clinical practice in diagnosis and treatment
Theodoropoulou, Α., & Κoutroubakis, I. E. (2008) · World Journal of Gastroenterology · doi:10.3748/wjg.14.7302 · Cited by 265
The epidemiology of ischaemic colitis
Higgins, P., Davis, K. J., & Laine, L. (2004) · Alimentary Pharmacology & Therapeutics · doi:10.1111/j.1365-2036.2004.01903.x · Cited by 235
Brandt, L. J., Feuerstadt, P., & Blaszka, M. C. (2010) · The American Journal of Gastroenterology · doi:10.1038/ajg.2010.217 · Cited by 194
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. (2015) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2014.07.061 · Cited by 164
Management of Ischemic Colitis
Washington, C., & Carmichael, J. C. (2012) · Clinics in Colon and Rectal Surgery · doi:10.1055/s-0032-1329534 · Cited by 138
Gayer, C. C., Chino, A., Lucas, C., Tokioka, S., Yamasaki, T., Edelman, D. A., & Sugawa, C. (2009) · Surgery · doi:10.1016/j.surg.2009.06.055 · Cited by 132
Ischemic Colitis Has a Worse Prognosis When Isolated to the Right Side of the Colon
Sotiriadis, J., Brandt, L. J., Behin, D. S., & Southern, W. N. (2007) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2007.01341.x · Cited by 131
Cited by
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Miller, A. S., Boyce, K. M., Box, B., Clarke, M. D., Duff, S., Foley, N. M., Guy, R., Massey, L. H., Ramsay, G., Slade, D. A. J., et al. (2021) · Colorectal Disease · doi:10.1111/codi.15503 · Cited by 81
Ischemic bowel disease in 2021.
Ahmed, M. (2021) · World Journal of Gastroenterology · doi:10.3748/wjg.v27.i29.4746 · Cited by 82
Novel Insights Into the Mechanisms of Abdominal Pain in Obstructive Bowel Disorders
Shi, X.-Z. P., Lin, Y.-M., & Hegde, S. (2018) · Frontiers in Integrative Neuroscience · doi:10.3389/fnint.2018.00023 · Cited by 21
The Colonic Single Stripe Sign: A Case of Ischemic Colitis
Parikh, M. P., Satiya, J., Berger-Saunderson, M., Gupta, N. M., & Sanaka, M. R. (2019) · Cureus · doi:10.7759/cureus.4622 · Cited by 2
Contrast-induced ischemic colitis following coronary angiography: A case report
Qiu, H., & Li, W. (2023) · World Journal of Clinical Cases · doi:10.12998/wjcc.v11.i20.4937 · Cited by 2
Metadata
- Authors
- Oglat, A., & Quigley, E. M. M.
- Affiliations
- Houston Methodist (US)
- Corresponding author
- Quigley, Eamonn M.M.
- ORCID
- Quigley, Eamonn M.M.
- Venue
- Current Opinion in Gastroenterology
- Published
- 2017-01
- Volume
- 33
- Issue
- 1
- Pages
- 34-40
- ISSN
- 0267-1379 (ISSN-L)
- OpenAlex
- W2542678633
- Cited by
- 22
- References
- 65
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 1
- FWCI
- 0.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal Bleeding Diagnosis and Treatment
- Health Sciences › Medicine › Surgery › Gastrointestinal disorders and treatments
- Keywords
- ischemic colitis, lower gastrointestinal bleeding, intestinal hypoperfusion, risk factors, clinical features, computed tomography diagnosis, colonoscopy, prognosis, elderly patients
- MeSH terms
- Colon, Humans, Ischemia, Risk Factors, Colitis, Ischemic
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