Ischemic bowel disease in the elderly

D. A. Greenwald, L. J. Brandt, J. F. Reinus

Research output: Contribution to journalArticle

95 Scopus citations

Abstract

The ischemic bowel diseases (IBD) are a heterogeneous group of disorders usually seen in elderly individuals. They represent ischemic damage to different portions of the bowel and, therefore, produce a variety of clinical syndromes and outcomes. Colonic ischemia is the commonest of these disorders and has a favorable prognosis in most cases. In contrast, acute mesenteric ischemia, most commonly caused by a superior mesenteric artery embolus, is a disease with a very poor prognosis. Acute mesenteric ischemia caused by nonocclusive mesenteric ischemia usually is a catastrophic complication of other severe medical illnesses, most notably atherosclerosis. Proper diagnosis and management of patients with IBD require vigilance on the part of the physician and a willingness to embark on an aggressive plan of diagnosis and management in the appropriate setting.

Original languageEnglish (US)
Pages (from-to)445-473
Number of pages29
JournalGastroenterology clinics of North America
Volume30
Issue number2
DOIs
StatePublished - Jan 1 2001

ASJC Scopus subject areas

  • Gastroenterology

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