A patient with ischemic colitis may be managed with or without surgery. Surgery is indicated when certain findings are present.
Indications for surgery:
(1) presence of peritoneal signs indicative of fulminant colitis, intestinal gangrene, and/or perforation with peritonitis (distension, guarding, rigidity, pain))
(2) massive hemorrhage
(3) recurrent fever or sepsis
(4) symptoms lasting more than 3 weeks
(5) chronic protein-losing enteropathy
(6) chronic segmental colitis with ulceration
(7) symptomatic ischemic stricture
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Specialty: Gastroenterology, Surgery, general, Cardiology
