Colon Ischemia Mayo Clinic Proceedings

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Presentation transcript:

Colon Ischemia Mayo Clinic Proceedings Thomas G. Cotter, MD, Adam C. Bledsoe, MD, Seth Sweetser, MD  Mayo Clinic Proceedings  Volume 91, Issue 5, Pages 671-677 (May 2016) DOI: 10.1016/j.mayocp.2016.02.006 Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure Management algorithm for colon ischemia. BUN = blood urea nitrogen; CI = colon ischemia; CT = computed tomography; CTA = computed tomography angiography; Hgb = hemoglobin; HR = heart rate; ICU = intensive care unit; IRCI = isolated right colon ischemia; IVF = intravenous fluid; LDH = lactate dehydrogenase; MRA = magnetic resonance angiography; PVG = portal venous gas; SBP = systolic blood pressure; WBC = white blood cell count. aPoor prognostic risk factors: male sex, hypotension (SBP<90 mm Hg), tachycardia (HR>100 beats/min), pain without rectal bleeding, BUN level >20 mg/dL, Hgb level <12 g/dL, LDH level >350 U/L, serum sodium level <136 mEq/L, WBC >15×109/L. Adapted from Am J Gastroenterol,3 with permission. Mayo Clinic Proceedings 2016 91, 671-677DOI: (10.1016/j.mayocp.2016.02.006) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions