Ischaemic Colitis Note PDF
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Summary
This note provides an overview of Ischaemic Colitis, including its causes, epidemiology, clinical features, and management. The information covers the vascular supply to the colon, common risk factors, and potential complications. This is a brief description of Ischaemic Colitis.
Full Transcript
Ischaemic Colitis Overview Caused by reduced blood supply to the colon. Vascular supply: Superior and inferior mesenteric arteries. Watershed areas: Splenic flexure and caecum are most susceptible to ischaemia. Epidemiology Most common in elderly, linked to:...
Ischaemic Colitis Overview Caused by reduced blood supply to the colon. Vascular supply: Superior and inferior mesenteric arteries. Watershed areas: Splenic flexure and caecum are most susceptible to ischaemia. Epidemiology Most common in elderly, linked to: o Atherosclerosis. o Vessel occlusion. In younger populations: Associated with: o Use of contraceptives. o Thrombophilia. o Vasculitis. Clinical Features Symptoms: Abdominal pain, rectal bleeding, occasionally shock. Sigmoidoscopy: Often normal apart from the presence of blood. Management Treatment: Symptomatic. Surgery: Required for complications such as: o Gangrene. o Perforation. o Stricture formation.
