Stenotic ischemic colitis treated with laparoscopy-assisted surgery  

作　　者：Tomoya Tsukada Tatsuo Nakano Daisuke Matsui Shozo Sasaki 

机构地区：[1]Department of Surgery, Asanogawa General Hospital, Kanazawa, Ishikawa 920-8621, Japan [2]Department of Gastroenterological Surgery, Division of Cancer Medicine, Graduate School of Medical Science, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa 920-8641, Japan

出　　处：《World Journal of Gastrointestinal Surgery》2012年第8期203-207,共5页世界胃肠外科杂志（英文版）（电子版）

摘　　要：Ischemic colitis is the most common type of intestinal ischemia. The etiology of this condition is multifactorial, and the diagnosis is based on a combination of clinical symptoms, as well as endoscopic and histological findings. Although conservative therapy is effective in most cases, surgery still plays a key role in the treatment of ischemic colitis. Here, we describe a case of a 73-year-old man in whom laparoscopy-assisted left colectomy was performed 80 d after the onset of ischemic colitis. He recovered completely after surgery, and the pathological findings were consistent with ischemic colitis. To the best of our knowledge, there are no detailed reports of laparoscopic surgery for chronic segmental stenotic ischemic colitis. We discussed the usefulness of laparoscopic surgery, comparing it with endoscopic treatment, and we propose an optimal treatment strategy from a viewpoint of stenosis length and duration of disease. Ischemic colitis is the most common type of intestinal ischemia. The etiology of this condition is multifactorial, and the diagnosis is based on a combination of clinical symptoms, as well as endoscopic and histological findings. Although conservative therapy is effective in most cases, surgery still plays a key role in the treatment of ischemic colitis. Here, we describe a case of a 73-year-old man in whom laparoscopy-assisted left colectomy was performed 80 d after the onset of ischemic colitis. He recovered completely after surgery, and the pathological findings were consistent with ischemic colitis. To the best of our knowledge, there are no detailed reports of laparoscopic surgery for chronic segmental stenotic ischemic colitis. We discussed the usefulness of laparoscopic surgery, comparing it with endoscopic treatment, and we propose an optimatreatment strategy from a viewpoint of stenosis length and duration of disease.

关 键 词：Ischemic colitis Laparoscopic surgery STENOSIS CHRONIC ENDOSCOPY 

分 类 号：R656.9[医药卫生—外科学]