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Cited by 152Abdominal vascular conditions and treatmentsAortic Thrombus and EmbolismRenal and Vascular Pathologies

Right colonic involvement is associated with severe forms of ischemic colitis and occurs frequently in patients with chronic renal failure requiring hemodialysis

Flobert, Christelle, Cellier, Christophe, Berger, Anne, Ngo, Alain, Cuillerier, Emmanuel, Landi, Bruno, Marteau, Philippe, Cugnenc, Paul-Henri +1 more·2000·The American Journal of Gastroenterology
DOI 10.1111/j.1572-0241.2000.01644.x
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Abstract

OBJECTIVE: The aim of this study was to identify factors associated with severe outcome in patients with ischemic colitis. METHODS: The files of 60 consecutive inpatients (34 women, 26 men, mean age 67 yr) with ischemic colitis were reviewed. The following data were analyzed: age, sex, smoking, medications, history of cardiovascular disease, metabolic disease, chronic renal failure and hemodialysis, the time elapsed between the first symptoms and the diagnosis, and the site and extension of their colonic involvement. Patients were divided into two groups according to outcome: those with severe disease, including those who died from ischemic colitis (n = 3) or who required surgical resection (n = 21); and those with mild forms of colitis who were treated successfully without surgery (n = 36). The two groups were compared by means of univariate and multivariate analysis to identify factors associated with unfavorable outcomes. Only patients who had a complete examination of the colon (n = 51) were entered into the statistical analysis. RESULTS: By univariate analysis, chronic renal failure (p = 0.03), hemodialysis (p = 0.01), short delay between symptoms and diagnosis (p = 0.01), and right colonic involvement (p = 0.002) were significantly more common in the patients with severe colitis. By logistic regression, right colonic involvement was the only factor independently associated with severity (p = 0.01). Right-sided lesions were present in 82% of patients on dialysis but in only 26% of patients not on dialysis (p = 0.0005). CONCLUSIONS: Right colonic involvement is associated with severe forms of ischemic colitis and occurs frequently in patients with chronic renal failure requiring hemodialysis.

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Crossref · 10.1111/j.1572-0241.2000.01644.x

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  • Isolated right colon ischemia can occur in about 10% of cases.

    “Isolated right colon ischemia can occur in about 10% of cases.”

    From Ischemic bowel disease in 2021. (2021) · cites this paper as [32]

  • Right colonic involvement generally occurs in patients with chronic renal failure requiring hemodialysis and is associated with severe IC.

    “Right colonic involvement generally occurs in patients with chronic renal failure requiring hemodialysis and is associated with severe IC[32].”

    From Ischemic bowel disease in 2021. (2021) · cites this paper as [32]

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Authors
Flobert, C., Cellier, C., Berger, A., Ngo, A., Cuillerier, E., Landi, B., Marteau, P., Cugnenc, P.-H., & Barbier, J.-P.
Affiliations
Assistance Publique – Hôpitaux de Paris (FR)
ORCID
Venue
The American Journal of Gastroenterology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2000-01
Volume
95
Issue
1
Pages
195-198
ISSN
  • 0002-9270 (ISSN-L)
  • 1572-0241
DOI
10.1111/j.1572-0241.2000.01644.x
OpenAlex
W2034910015
Cited by
152
References
16
Citations by year
2026: 1 · 2025: 6 · 2024: 3 · 2023: 4 · 2022: 1 · 2021: 10 · 2020: 6 · 2019: 6 · 2018: 2 · 2017: 6 · 2016: 6 · 2015: 9 · 2014: 12 · 2013: 9 · 2012: 8
FWCI
3.18
Type
journal article
Language
en
Open access
closed
Locations
  • The American Journal of Gastroenterology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Thrombus and Embolism
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal and Vascular Pathologies
Keywords
ischemic colitis, chronic kidney disease, hemodialysis, disease severity, surgical resection, risk factors, time to diagnosis
MeSH terms
Adult, Aged, Aged, 80 and over, Colon, Female, Renal Dialysis, Humans, Kidney Failure, Chronic, Male, Middle Aged, Prognosis, Colitis, Ischemic

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