TY - JOUR
T1 - Is "ischemic" colitis ischemic?
AU - Carlson, Ryan M.
AU - Madoff, Robert D.
PY - 2011/3
Y1 - 2011/3
N2 - Ischemic colitis appears to be a collection of diseases rather than a single entity. On the one hand, there is the colitis that truly appears to be caused by a lack of blood flow and, on the other hand, there is the disease that is called "ischemic" for lack of a better diagnosis - the colitis that is more "idiopathic" than "ischemic." Four widely held tenets of "ischemic" colitis are wrong: 1) the colon is not particularly sensitive to ischemia; 2) ischemic colitis is rarely preceded by a period of global hypoperfusion; 3) the "watershed areas" are not disproportionately affected; and 4) colonoscopy with biopsy is not specific for the disease. The cause of "ischemic" colitis is unknown. Therefore it is, until proven otherwise, "acute idiopathic colitis.".
AB - Ischemic colitis appears to be a collection of diseases rather than a single entity. On the one hand, there is the colitis that truly appears to be caused by a lack of blood flow and, on the other hand, there is the disease that is called "ischemic" for lack of a better diagnosis - the colitis that is more "idiopathic" than "ischemic." Four widely held tenets of "ischemic" colitis are wrong: 1) the colon is not particularly sensitive to ischemia; 2) ischemic colitis is rarely preceded by a period of global hypoperfusion; 3) the "watershed areas" are not disproportionately affected; and 4) colonoscopy with biopsy is not specific for the disease. The cause of "ischemic" colitis is unknown. Therefore it is, until proven otherwise, "acute idiopathic colitis.".
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U2 - 10.1007/DCR.0b013e31820481a9
DO - 10.1007/DCR.0b013e31820481a9
M3 - Review article
C2 - 21304312
AN - SCOPUS:79952767764
SN - 0012-3706
VL - 54
SP - 370
EP - 373
JO - Diseases of the colon and rectum
JF - Diseases of the colon and rectum
IS - 3
ER -