Colitis is defined as a condition of inflammation of the large intestine, including the colon, caecum and rectum.
Treatments
A. In conventional medicine perspective
Ischemic colitis
Ischemic colitis is the most common type of intestinal ischemia
A.4.1. Non surgical treatments
Supportive care with intravenous fluids, optimization of hemodynamic
status, avoidance of vasoconstrictive drugs, bowel rest, and empiric
antibiotics will produce clinical improvement within 1 to 2 days in most
patients, according to the study by Duke University Medical Center(95).
A.4.2. Surgical treatments
1. Colectomy
According to the study by , although conservative therapy is effective in most cases, surgery still plays a key role in the treatment of ischemic colitis.
Here, we describe a case of a 73-year-old man in whom
laparoscopy-assisted left colectomy was performed 80 d after the onset
of ischemic colitis. He recovered completely after surgery, and the pathological findings were consistent with ischemic colitis(96).
2. Colonoscopy
In the study of 15 patients with ischemia of the colon, researchers
found that rigid proctoscopy was normal or demonstrated nonspecific
proctitis in 12 of 15 patients studied. Colonoscopic biopsies
demonstrated superficial inflammatory changes in all patients. Thirteen
patients had complete mucosal healing endoscopically in 2 weeks to 3
months with stricture developing in four patients. Because ischemic colitis is a distinct subtype of ischemic
bowel disease most often limited to the superficial mucosa, colonoscopy
is an alternative and usually safe modality in the diagnosis of this
entity and proved more accurate that conventional x-ray and
proctoscopy(97).
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Sources
(95) http://www.ncbi.nlm.nih.gov/pubmed/15759953
(96) http://www.ncbi.nlm.nih.gov/pubmed/23293734
(97) http://www.ncbi.nlm.nih.gov/pubmed/7297823
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