Section: Colorectal Sub-section: Colitis Curriculum: Curriculum, page 23
May develop in the context of recurrent Acute colonic ischemia
Presentation:
- Recurrent abdominal pain, bloody diarrhea, weight loss from protein-losing enteropathy, recurrent bacteremia, persistent sepsis, or symptomatic colonic strictures
Diagnosis
- Colonoscopy may be required to confirm persistent colitis or stricture
Complications
- May develop into segmental ulcerating colitis or strictures
- Strictures
- Ischemic strictures that produce no symptoms should be observed.
- Some strictures will resolve in 12 to 24 months without specific therapy.
- If symptoms of partial obstruction develop, segmental resection is indicated