缺血性结肠炎的诊断与管理进展
Advents in the Diagnosis and Management of Ischemic Colitis.
作者信息
Misiakos Evangelos P, Tsapralis Dimitrios, Karatzas Theodore, Lidoriki Irene, Schizas Dimitrios, Sfyroeras George S, Moulakakis Konstantinos G, Konstantos Chrysostomos, Machairas Anastasios
机构信息
3rd Department of Surgery, School of Medicine, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece.
Department of General Surgery, General Hospital/Health Center of Ierapetra, Ierapetra, Greece.
出版信息
Front Surg. 2017 Sep 4;4:47. doi: 10.3389/fsurg.2017.00047. eCollection 2017.
BACKGROUND
Ischemic colitis (IC) is a common type of ischemic insult, resulting from decreased arterial blood flow to the colon. This disease can be caused from either atherosclerotic occlusive vascular disease or non-occlusive disease. The aim of this study is to present the diagnostic methodology and management of this severe disease based on current literature.
METHODS
A literature search has been done including articles referring to modern diagnosis and management of IC.
RESULTS
IC is usually a transient disease, but it can also cause gangrene of the colon, requiring emergency surgical exploration. Diagnosis is troublesome and is based on imaging examinations, mainly computerized tomography, which in association with colonoscopy can delineate the distribution pattern and severity of disease.
CONCLUSION
The majority of patients with mild disease have usually complete clinical recovery within a short period. The severe forms of the disease carry high morbidity and mortality rates and prompt surgical intervention is the only way to improve the associated severe prognosis.
背景
缺血性结肠炎（IC）是一种常见的缺血性损伤类型，由结肠动脉血流减少引起。这种疾病可由动脉粥样硬化性闭塞性血管疾病或非闭塞性疾病引起。本研究的目的是根据当前文献介绍这种严重疾病的诊断方法和治疗。
方法
进行了文献检索，包括提及IC现代诊断和治疗的文章。
结果
IC通常是一种短暂性疾病，但也可导致结肠坏疽，需要紧急手术探查。诊断较为棘手，基于影像学检查，主要是计算机断层扫描，其与结肠镜检查相结合可描绘疾病的分布模式和严重程度。
结论
大多数轻症患者通常在短时间内临床完全康复。该疾病的严重形式具有高发病率和死亡率，及时的手术干预是改善相关严重预后的唯一方法。
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