Ischemic colitis | Wikipedia audio article
Channel: wikipedia tts
Date: 27/03/2019

This is an audio version of the Wikipedia Article:
https://en.wikipedia.org/wiki/Ischemic_colitis


00:01:54 1 Signs and symptoms
00:03:56 2 Causes
00:04:26 2.1 Non-occlusive ischemia
00:04:53 2.2 Occlusive ischemia
00:06:17 3 Pathophysiology
00:06:27 3.1 Colonic blood supply
00:07:30 3.2 Development of ischemia
00:08:30 3.3 Pathologic findings
00:09:32 4 Diagnosis
00:10:57 4.1 Diagnostic tests
00:12:49 5 Treatment
00:14:23 6 Prognosis
00:15:21 6.1 Long-term complications
00:16:26 7 Epidemiology



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SUMMARY
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Ischemic colitis (also spelled ischaemic colitis) is a medical condition in which inflammation and injury of the large intestine result from inadequate blood supply. Although uncommon in the general population, ischemic colitis occurs with greater frequency in the elderly, and is the most common form of bowel ischemia. Causes of the reduced blood flow can include changes in the systemic circulation (e.g. low blood pressure) or local factors such as constriction of blood vessels or a blood clot. In most cases, no specific cause can be identified.Ischemic colitis is usually suspected on the basis of the clinical setting, physical examination, and laboratory test results; the diagnosis can be confirmed by endoscopy or by using sigmoid or endoscopic placement of a visible light spectroscopic catheter (see Diagnosis). Ischemic colitis can span a wide spectrum of severity; most patients are treated supportively and recover fully, while a minority with very severe ischemia may develop sepsis and become critically, sometimes fatally, ill.Patients with mild to moderate ischemic colitis are usually treated with IV fluids, analgesia, and bowel rest (that is, no food or water by mouth) until the symptoms resolve. Those with severe ischemia who develop complications such as sepsis, intestinal gangrene, or bowel perforation may require more aggressive interventions such as surgery and intensive care. Most patients make a full recovery; occasionally, after severe ischemia, patients may develop long-term complications such as a stricture or chronic colitis.