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A case of ischemic colitis after colonic endoscopic submucosal dissection

Published on Feb. 25, 2022Total Views: 3099 timesTotal Downloads: 2162 timesDownloadMobile

Author: ZHANG Lu 1 ZHANG Xiaoqi 2 YE Xiaofeng 1

Affiliation: 1. Department of Spleen and Stomach Diseases, Changzhou Hospital of Traditional Chinese Medicine, Nanjing University of Traditional Chinese Medicine, Changzhou 213001, Jiangsu Province, China 2. Department of Gastroenterology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China

Keywords: Endoscopic submucosal dissection Ischemic colitis Case report

DOI: 10.12173/j.issn.1004-5511.202110024

Reference: Zhang L, Zhang XQ, Ye XF. A case of ischemic colitis after colonic endoscopic submucosal dissection[J]. Yixue Xinzhi Zazhi, 2022, 32(1): 69-73. DOI: 10.12173/j.issn.1004-5511.202110024.[Article in Chinese]

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Abstract

Ischemic colitis (IC) is a rare complication after endoscopic submucosal dissection (ESD). This article reports a case of IC after colonic ESD, and analyzes its possible causes and preventive measures based on a review of domestic and foreign literatures, aiming to provide references for clinical practice.

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References

1.任鹏媛,殷云勤,高宇辉. 结直肠内镜黏膜下剥离术并发症的研究进展[J].胃肠病学和肝病学杂志, 2021, 30(3): 341-345. [Ren PY, Yin YQ, Gao YH. Research progress on complications of colorectal en-doscopic submucosal dissection[J]. Chinese Journal of Gastroenterology and Hepatology, 2021, 30(3): 341-345.]DOI: 10.3969/j.issn.1006- 5709.2021.03.020.

2.Boley SJ, Schwartz S, Lash J, et al. Reversible vascular occlusion of the colon[J]. Surg Gynecol Obstet, 1963, (116): 53-60. https://pubmed.ncbi.nlm.nih.gov/13968597/.

3.Hung A, Calderbank T, Samaan MA, et al. Ischaemic colitis: practical challenges and evidence-based recommendations for management[J]. Frontline Gastroenterol, 2021, 12(1): 44-52. DOI: 10.1136/flgastro-2019-101204.

4.张凯凯, 柳维林, 康娜, 等. 缺血性肠炎1例诊治分析并文献复习[J].临床医学进展, 2021, 11(4): 1813-1819. [Zhang KK, Liu WL, Kang N, et al. Analysis of the diagnosis and treatment of ischemic colitis: a case report and literature review[J]. Advances in Clinical Medicine, 2021, 11(4): 1813-1819.] DOI: 10.12677/ACM.2021. 114260. 

5.Theodoropoulou Α, Κoutroubakis IE. Ischemic colitis: clinical practice in diagnosis and treatment[J]. World J Gastroenterol, 2008, 14(48): 7302-7308. DOI: 10.3748/wjg.14.7302.

6.Zizzo M, Castro Ruiz C, Ugoletti L, et al. Transmural colonic infarction after routine colonoscopy in a young patient without risk factors[J]. Case Rep Gastroenterol, 2016, 10(2): 479-488. DOI: 10.1159/000448884.

7.Green BT, Tendler DA. Ischemic colitis: a clinical review[J]. South Med J, 2005, 98(2): 217-222. DOI: 10.1097/01.SMJ.0000145399.35851.10.

8.Xu Y, Xiong L, Li Y, et al. Diagnostic methods and drug therapies in patients with ischemic colitis[J]. Int J Colorectal Dis, 2021, 36(1): 47-56. DOI: 10.1007/s00384-020-03739-z.

9.谷玺, 张拥军, 张险峰. 缺血性结肠炎患者的临床特征及初诊情况分析[J]. 中国现代药物应用, 2021, 15(12): 115-117. [Gu X, Zhang YJ, Zhang XF. Analysis of clinical characteristics and initial diagnosis of patients with ischemic colitis[J]. Chinese Journal of Modern Drug Application, 2021, 15(12): 115-117.] DOI: 10.14164/j.cnki.cn11-5581/r. 2021.12.041. 

10.Nikolic AL, Keck JO. Ischeamic colitis: uncertainty in diagnosis, pathophysiology and management[J]. ANZ J Surg, 2018, 88(4): 278-283. DOI: 10.1111/ans.14237.

11.Brandt LJ, Feuerstadt P, Longstreth GF, et al. ACG clinical guideline: epidemiology, risk factors, pat-terns of presentation, diagnosis, and management of colon ischemia(CI)[J]. Am J Gastroenterol, 2015, 110(1): 18-44. DOI: 10.1038/ajg.2014.395.

12.Zou X, Cao J, Yao Y, et al. Endoscopic findings and clinicopathologic characteristics of ischemic colitis: a report of 85 cases[J]. Dig Dis Sci, 2009, 54(9): 2009-2015. DOI: 10.1007/s10620-008-0579-1.

13.Thoeni RF, Cello JP. CT imaging of colitis[J]. Radiology, 2006, 240(3): 623-638. DOI: 10.1148/radiol.2403050818.

14.张亚历. 实用消化病学图解诊断与治疗方法[M]. 北京:清华大学出版社, 2009. [Zhang YL. Practical digestive diseases diagram diagnosis and treatment methods[M]. Beijing: Tsinghua University Press, 2009.]

15.Block T, Nilsson TK, Bjorck M, et al. Diagnostic accuracy of plasma biomarkers for intestinal ischae-mia[J]. Scand J Clin Lab Invest, 2008, 68(3): 242-248. DOI: 10.1080/00365510701646264.

16.豆正莉, 郑可佳, 何雪, 等. D-二聚体联合腹部CT在缺血性结肠炎早期诊断中的价值[J]. 安徽医学, 2021, 42(7): 756-759. [Dou ZL, Zheng KJ, He X, et al. The value of D-dimer combined with abdominal CT in the early diagnosis of ischemic colitis[J]. Anhui Medical Journal, 2021, 42(7): 756-759.] DOI: 10.3969/j.issn.1000-0399. 2021.07.012. 

17.van Dijk LJ, van Noord D, de Vries AC, et al. Clinical management of chronic mesenteric ischemia[J]. United European Gastroenterol J, 2019, 7(2): 179-188. DOI: 10.1177/2050640618817698.

18.李冰, 吕永柱, 焦战. 缺血性结肠炎重症误诊分析[J]. 临床外科杂志, 2021, 29(5): 458-461. [Li B, Lyu YZ, Jiao Z. Misdiagnosis of severe ischemic colitis[J]. Journal of Clinical Surgery, 2021, 29(5): 458-461.] DOI: 10.3969/j.issn.1005-6483.2021.05.017. 

19.陈晓露, 张彦亭, 司望利, 等. 缺血性结肠炎的结肠镜及影像学检查特征分析[J]. 临床消化病杂志, 2021, 33(1): 26-29. [Chen XL, Zhang YT, Si WL, et al. Clinical analysis of colonoscopy and imaging characteristics of patients with ischemic colitis[J]. Chinese Journal of Clinical Gastroenterology, 2021, 33(1): 26-29.] DOI: 10.3870/lcxh.j.issn.1005-541X.2021.01.06. 

20.Choi SR, Jee SR, Song GA, et al. Predictive factors for severe outcomes in ischemic colitis[J]. Gut Liver, 2015, 9(6): 761-766. DOI: 10.5009/gnl15167.

21.Cremers MI, Oliveira AP, Freitas J. Ischemic colitis as a complication of colonoscopy[J]. Endoscopy, 1998, 30(4): 54. DOI: 10.1055/s-2007-1001302.

22.Oh JK, Meiselman M, Lataif LE Jr. Ischemic colitis caused by oral hyperosmotic saline laxatives[J]. Gas-trointest Endosc, 1997, 45(3): 319-322. DOI: 10.1016/s0016-5107(97)70282-7.

23.Park JE, Moon W, Nam JH, et al. A case of ischemic colitis presenting as bloody diarrhea after normal saline enema[J]. Korean J Gastroenterol, 2007, 50(2): 126-130. DOI: 10.1007/978-3-642-02574-7_9.

24.李振磊,刘明东,邹晓平,等. 结肠镜检查后并发缺血性结肠炎三例并文献分析[J]. 中华消化内镜杂志, 2009, 26(4): 199-201. [Li ZL, Liu MD, Zou XP, et al. Three cases of ischemic colitis after colonoscopy and literature analysis[J]. Chinese Journal of Digestive Endoscopy, 2009, 26(4): 199-201.] DOI: 10.3760/cma.j.issn.1007- 5232.2009.04.011. 

25.Zucherman MJ, Hirota WK, Adler DG, et al. ASGE guideline: the management of low-molecular-weight heparin and nonaspirin antiplatelet agents for endoscopic procedures[J]. Gastrointest Endosc, 2005, 61(2): 189-194.DOI: 10.1016/s0016-5107(04)02392-2.

26.文毅.血浆D-二聚体检测对缺血性结肠炎的诊断价值分析[J]. 中国全科医学, 2012, 15(27): 3183-3184. [Wen Y. Diagnosis value of plasma D-Dimer test for ischemic colitis[J]. Chinese General Practice, 2012, 15(27): 3183-3184.] DOI: 10.3969/j.issn.1007-9572.2012.09.104. 

27.Baixauli J, Kiran RP, Delaney CP. Investigation and management of ischemic colitis[J]. Cleve Clin J Med, 2003, 70(11): 920-921, 925-926, 928-930. DOI: 10.3949/ccjm.70.11.920.