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Ischemic Colitis

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Saeed Al-Shomimi
Saeed Al-Shomimi
Health & Medicine
1 of 48
Ischemic Colitis By Maha K. AL-Madi General Surgery – KFHU Khobar – Saudi Arabia April 8, 2009
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy Review ,[object Object]
6 cm 15 cm 13cm 25-38cm 25cm 12 cm 3cm
Anatomy Review ,[object Object]
Anatomy Review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Anatomy Review ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Anatomy Review ,[object Object],[object Object],[object Object]
Anatomy Review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Anatomy Review ,[object Object],[object Object],[object Object],[object Object]
Ischemic Colitis- Introduction ,[object Object],[object Object]
Ischemic Colitis- Introduction ,[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object]
Underlying Causes
 
 
 
Phases of Ischemic Colitis ,[object Object],[object Object]
Phases of Ischemic Colitis ,[object Object],Mucosal infarction in which ischemic damage is confined to the mucosa 2. Partial thickness ischemia Mural infarction in which the injury extends from the mucosa into the muscularis mucosa 3. Full thickness infarction Transmural infarction
Phases of Ischemic Colitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Picture ,[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Investigations ,[object Object],[object Object],[object Object],[object Object]
 
 
Investigations ,[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object]
 
 
Management ,[object Object]
Management ,[object Object],Treated symptomatically Observation with Bowel rest, IVF, O2 and optomise cardiac function 2. Partial thickness ischemia -Close observation, IVF, broad-spectrum antibiotics -If stricture develops and is symptomatic, resection may be required. 3. Full thickness infarction Surgical resection
Management ,[object Object],[object Object],[object Object]
 
Management ,[object Object],[object Object]
Management ,[object Object],[object Object],[object Object]
Management ,[object Object]
Reference ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank You

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