Ischaemic Colitis

Question 1

who gets it?

Answer 1

the elderly and people with other vascular disease problems

Question 2

predisposing factors to vascular disease?

Answer 2

diabetes, smoking, high cholesterol etc..

Question 3

which artery is usually affected?

Answer 3

IMA

Question 4

often ___ sided disease

Answer 4

left

Question 5

what are the causes? 6

Answer 5

• CVS disease
• Atherosclerosis of mesenteric vessels
• A fib
• Shock
• Vasculitis
• Embolus

Question 6

what is the most common cause of it in younger people

Answer 6

shock - from infection

Question 7

histology: get withering of ____ and ____ of ___ ___

Answer 7

withering of crypts and smudging of lamina propria

Question 8

what is the presentation?

Answer 8

left sided abdo pain ±bloody diarrhoea

Question 9

how is it diagnosed?

Answer 9

Colonoscopy and biopsy - gold standard

Barium enema

Question 10

Barium enema shows characteristic ____ ___ of ______ swelling

Answer 10

Barium enema shows characteristic thumb printing of submucosal swelling

Question 11

what are some complications ?

Answer 11

massive bleeding, stricture, rupture