PT - JOURNAL ARTICLE AU - Beck, David E. AU - de Aguilar-Nascimento, Jose Eduardo TI - Surgical Management and Outcome in Acute Ischemic Colitis DP - 2011 Sep 21 TA - Ochsner Journal PG - 282--285 VI - 11 IP - 3 4099 - http://www.ochsnerjournal.org/content/11/3/282.short 4100 - http://www.ochsnerjournal.org/content/11/3/282.full SO - Ochsner J2011 Sep 21; 11 AB - Background Ischemic colitis is the most common form of gastrointestinal ischemia. Patients usually present with abdominal discomfort and bloody diarrhea. Treatment is contingent on the severity of disease. Mucosal/nongangrenous ischemia requires only supportive measures and medical management, whereas transmural/gangrenous ischemia may require prompt surgical intervention. The purpose of this study was to review the surgical management of ischemic colitis in a tertiary referral center.Methods Retrospective chart review of patients with ischemic colitis managed from 1995 to 2000 at the Ochsner Foundation Hospital.Results Forty-eight patients were identified. Ten of these had disease significant enough to require surgery (21%) and are the basis of this review. Eight were women, and the mean age was 71.4 years (range 43-85 years). Distribution of the disease was the right colon in 4 cases, pancolitis in 3, sigmoid in 2, and the left colon in 1. Nine patients underwent bowel resection: primary anastomosis in 3 and creation of a stoma in the other 6 (5 ileostomies and 1 transverse colostomy). Follow-up ranged from 3 days to 13.8 years. One patient died perioperatively.Conclusion Surgical management produced good results.