ArticleInternational journal of colorectal disease2014
Surgery for ischemic colitis: outcome and risk factors for in-hospital mortality.
Article in International journal of colorectal disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 32 citations in OpenAlex.
- Extensive Rectal Ischemia with Perforation: A Rare Case of Whole-Segment Ischemic Injury.Reports (MDPI) · 2026Article
- Efficacy of a Laparoscopic Approach in Treating Gangrenous Ischemic Colitis: A Case Report.Surgical case reports · 2026Article
- A comparison of open or laparoscopic colectomy outcomes for the management of ischemic colitis using the ACS-NSQIP database.Surgery in practice and science · 2023Article
- Laparoscopic versus open emergent colectomy for ischemic colitis: a propensity score-matched comparison.World journal of emergency surgery : WJES · 2022Article
- Outcomes of patients with ischemic colitis causing severe hematochezia managed medically or surgically.Langenbeck's archives of surgery · 2022Article
- Congestive Heart Failure Is Associated With Worse Outcomes in Patients With Ischemic Colitis: A Nationwide Study.Cureus · 2022Article
- Factors influencing hospital stay duration for patients with mild ischemic colitis: a retrospective study.European journal of medical research · 2022Article
- Prediction of severity and outcomes of colon ischaemia using a novel prognostic model: a clinical multicenter study.Annals of medicine · 2021Article
- Population-Based Study of the Clinical Characteristics and Risk Factors of Ischemic Colitis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2021Article
- Ischaemic colitis: practical challenges and evidence-based recommendations for management.Frontline gastroenterology · 2021Review
- Cirrhosis Is Associated With Worse Outcomes in Ischemic Colitis: A Nationwide Retrospective Study.Gastroenterology research · 2020Article
- Predictors of mortality following emergency open colectomy for ischemic colitis: a single-center experience.World journal of emergency surgery : WJES · 2020Article
- Early Endoscopy Is Associated with Better Clinical Outcomes in Patients Hospitalized with Ischemic Bowel Disease.Digestive diseases and sciences · 2019Article
- Ischemic colitis following infrarenal abdominal aortic aneurysm treatment: Results from a tertiary medical center.Northern clinics of Istanbul · 2018Article
- Predictive factors of mortality after colectomy in ischemic colitis: an ACS-NSQIP database study.Trauma surgery & acute care open · 2017Article
- Poor prognostic factors in patients who underwent surgery for acute non-occlusive ischemic colitis.World journal of emergency surgery : WJES · 2015Article
- Improving outcomes from ischaemic colitis: more questions than answers.International journal of colorectal disease · 2014Article
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Authors and funding
5 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeSurgery for ischemic colitis is associated with high perioperative morbidity and mortality, but the risk factors for mortality and major surgical complications are unclear.
methodsIn this retrospective single institution cohort study of all patients undergoing colorectal surgery for histologically proven ischemic colitis between 2004 and 2010, we evaluated surgical outcomes and risk factors for in-hospital mortality and major surgical complications.
resultsFor the 100 patients included in the study, in-hospital mortality was 54 %; major surgical complications, defined as anastomotic leakage or rectal stump and stoma complications, occurred in 16 %. In the multivariable analysis, hospital death was more likely in patients with right-sided (odds ratio [OR] 3.8; 95 % confidence interval [CI] 1.2, 12; P = 0.022) or pan-colonic ischemia (OR 11; 95 % CI 2.8, 39; P < 0.001), both relative to left-sided ischemia. Decreased preoperative pH level (OR 2.5 per 0.1 decrease; 95 % CI 1.5, 4.1; P < 0.001) and prior cardiac or aortic surgery (OR 2.4; 95 % CI 0.82, 6.8; P = 0.109) were further important risk factors for in-hospital mortality. Major postoperative surgical complications were more likely in patients with ischemic alterations at the resection margin of the histological specimen (OR 3.7; 95 % CI 1.2, 11; P = 0.022).
conclusionsColonic resection for ischemic colitis is associated with high in-hospital mortality, especially in patients with right-sided or pan-colonic ischemia. In patients developing acidosis, early laparotomy is essential. Since resection margins' affection seems to be underestimated upon surgery, resections should be performed wide enough within healthy tissue.
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