【正文】
HARRISON’S ONLINE 15TH。,內容(n232。,Differential Considerations,Always consider the diagnosis of ischemic colitis whenever contemplating the diagnosis of inflammatory bowel disease in an elderly patient.,第二十六頁,共三十頁。,Subacute ischemic colitis management,Subacute Ischemic colitis without evidence of peritonitis or perforation is generally selflimited and requires only conservative management, including bowel rest, parenteral fluids, and antibiotics.,第二十二頁,共三十頁。,Acute fulminant ischemic colitis management,When ischemic colitis is suspected, a surgeon should be consulted. Gangrenous ischemic colitis or evidence of perforation requires immediate surgery as soon as the patient is stabilized.,第十八頁,共三十頁。,Acute fulminant ischemic colitis Diagnostic Strategy,Angiography is not helpful in the management of patients with presumed ischemic colitis because a remediable occlusive lesion is very rarely found. CT scan is normal in early stages of bowel infarction, although it may show nonspecific findings such as bowel wall thickening and pneumatosis.,第十四頁,共三十頁。,Acute fulminant ischemic colitis Diagnostic Strategy,Sigmoi