Robert J, Mentha G, Dederding J P, Rohner A
Clinique de chirurgie digestive, Hôpital cantonal universitaire, Genève.
Schweiz Med Wochenschr. 1991 Jun 15;121(24):913-6.
34 consecutive patients were admitted for ischemic colitis confirmed by colonoscopy, contrast enema, laparotomy, and/or post-mortem between 1984 and 1988. 13 underwent excisional surgery, usually at an early stage, because of acute abdomen. This study is devoted to the remaining 21 patients (62%), i.e. nearly two thirds of the whole series, who were treated conservatively (intravenous hydration and antibiotics). Our results suggest that (1) ischemic colitis usually affects elderly patients in whom an underlying cardiovascular disease is seldom found; (2) the right colon is infrequently involved, and (3) outcome is generally favorable in the absence of superimposed major pathology or of peritoneal signs which would require surgical exploration.
1984年至1988年间，34例经结肠镜检查、钡剂灌肠、剖腹手术和/或尸检确诊为缺血性结肠炎的患者入院治疗。13例因急腹症接受了切除手术，通常在疾病早期进行。本研究聚焦于其余21例患者（占62%），即几乎占整个系列病例三分之二的患者，他们接受了保守治疗（静脉补液和使用抗生素）。我们的研究结果表明：（1）缺血性结肠炎通常影响老年患者，且很少发现有潜在的心血管疾病；（2）右半结肠很少受累；（3）在没有叠加的严重病变或需要手术探查的腹膜体征的情况下，预后通常良好。
