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==Secondary Prevention==
==Secondary Prevention==
*The secondary prevention for ischemic colitis is as follows:
*The secondary prevention for ischemic colitis is as follows:
**Frequent clinical follow up of the abdomen.  
**Frequent clinical follow up of the abdomen to document healing or the development of strictures or persistent colitis.  
**Careful monitoring of vital signs.
**Careful monitoring of vital signs.
**Serial radiographic and colonoscopic examinations.  
**Serial radiographic and colonoscopic examinations.  
**Clinical suspicion of colonic infarction requires an emergency laparotomy  
**Clinical suspicion of colonic infarction requires an emergency laparotomy  
**Patient may have persistent diarrhea, rectal bleeding or repeated episodes of sepsis, which may lead to perforation. 
**Small delay in second-look operation, 72 hours, promotes the viability of the colonic mucosa and the anastomotic healing.
***This procedure offers a survival rate of almost 65%.


==References==
==References==

Revision as of 15:38, 8 January 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]

Overview

Frequent clinical follow up of the abdomen, careful monitoring of vital signs and serial radiographic and colonoscopic examinations are needed.

Secondary Prevention

  • The secondary prevention for ischemic colitis is as follows:
    • Frequent clinical follow up of the abdomen to document healing or the development of strictures or persistent colitis.
    • Careful monitoring of vital signs.
    • Serial radiographic and colonoscopic examinations.
    • Clinical suspicion of colonic infarction requires an emergency laparotomy
    • Patient may have persistent diarrhea, rectal bleeding or repeated episodes of sepsis, which may lead to perforation. 
    • Small delay in second-look operation, 72 hours, promotes the viability of the colonic mucosa and the anastomotic healing.
      • This procedure offers a survival rate of almost 65%.

References


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