Intestinal ischemia

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Background

  • Defined as a reduction of blood to the small and/or large intestines. May be acute or chronic.

Intestinal Ischemic Disorder Types

  • Ischemic colitis
    • Accounts for 80-85% of intestinal ischemia
    • Due to non-occlusive disease with decreased blood flow to the colon.
    • Causes decreased perfusion leading to sub-mucosal or mucosal ischemia only.
    • Typical to the "watershed areas" of the colon (Splenic flexure or Sigmoid)
  • Acute mesenteric ischemia
    • Due to complete occlusion of mesenteric vessels
    • Complete transmural ischemia