Evidence map›Paper›PMID 33489068›Full record

ReviewFrontline gastroenterology2021

Ischaemic colitis: practical challenges and evidence-based recommendations for management.

Alex Hung, Tom Calderbank, Mark A Samaan, Andrew A Plumb, George Webster

Open access · bronzeAbstract readReview
In one paragraph

Review in Frontline gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Patient characteristics, antibiotic use, and in-hospital outcomes in patients with ischaemic colitis: A nationwide retrospective cohort study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Risk Factors Associated with Progression to Surgery in Patients with Ischemic Colitis.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2024
    Observational
  13. Article
  14. Article
  15. Ischaemic Colitis from an Unusual Cause: Oral Contraceptives.European journal of case reports in internal medicine · 2024
    Article
  16. Article
  17. Article
  18. A case report of transmural rectosigmoid ischemia in an elderly patient.International journal of surgery case reports · 2023
    Article
  19. Review
  20. Ischemic Colitis Presented as Pseudomembranous Colitis: An Untypical Case from Vietnam.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Alex Hung *Gastroenterology, University College London Hospitals NHS Foundation Trust, London, UK.
Tom Calderbank *Gastroenterology, University College London Hospitals NHS Foundation Trust, London, UK.
Mark A SamaanGastroenterology, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID 0000-0002-4057-9200
Andrew A PlumbRadiology, University College London Hospitals NHS Foundation Trust, London, UK.
George WebsterGastroenterology, University College London Hospitals NHS Foundation Trust, London, UK.
University College London Hospitals NHS Foundation Trust · GBGuy's and St Thomas' NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischaemic colitis (IC) is a common condition with rising incidence, and in severe cases a high mortality rate. Its presentation, severity and disease behaviour can vary widely, and there exists significant heterogeneity in treatment strategies and resultant outcomes. In this article we explore practical challenges in the management of IC, and where available make evidence-based recommendations for its management based on a comprehensive review of available literature. An optimal approach to initial management requires early recognition of the diagnosis followed by prompt and appropriate investigation. Ideally, this should involve the input of both gastroenterology and surgery. CT with intravenous contrast is the imaging modality of choice. It can support clinical diagnosis, define the severity and distribution of ischaemia, and has prognostic value. In all but fulminant cases, this should be followed (within 48 hours) by lower gastrointestinal endoscopy to reach the distal-most extent of the disease, providing endoscopic (and histological) confirmation. The mainstay of medical management is conservative/supportive treatment, with bowel rest, fluid resuscitation and antibiotics. Specific laboratory, radiological and endoscopic features are recognised to correlate with more severe disease, higher rates of surgical intervention and ultimately worse outcomes. These factors should be carefully considered when deciding on the need for and timing of surgical intervention.

Indexed as

ischaemia

Identifiers

PMID33489068
PMCPMC7802492
OpenAlexW2998282244

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.