Risk factors of recurrent ischemic colitis: a multicenter retrospective study

Muhammed Sherid, Humberto Sifuentes, Salih Samo, Samian Sulaiman, Husein Husein, Ruth Tupper, Charles Spurr, John Vainder, Subbaramiah Sridhar

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

BACKGROUND/AIMS: Recurrence of ischemic colitis (IC) has not been studied extensively. The aim of this study was to investigate the characteristics of recurrent IC in the community setting and to identify any risk factors.

METHODS: We conducted a retrospective study in two community hospitals. Medical records of patients with IC from January 2007 to January 2013 were reviewed. Demographic details, clinical features, co- morbidities, concomitant use of medications,laboratory studies, imaging findings, endoscopic and histological features, surgery, hospital stay, and death within 30 days were collected. Patients were divided into two groups (recurrent IC group, non-recurrent IC group).

RESULTS: A total of 118 patients with IC were identified. IC recurred in 10 patients (8.5%) during the study period. Half of the patients in the recurrent IC group were current smokers as compared to only 18.7% of patients in the non-recurrent group. In the recurrent IC group, 20.0% of patients never smoked as compared to 61.7% in the non-recurrent group (p=0.027).Abdominal aortic aneurysm (AAA) was more frequent in the recurrent IC group (40.0% vs. 4.7%; p=0.003). No differences in other clinical symptoms, CT scan findings, comorbidities, endoscopic features, or use of concomitant medications were observed between the two groups. The need for surgical intervention, blood transfusion, intensive care unit stay, mechanical ventilation,length of hospital stay, and anatomic location of affected segments did not differ between the two groups.

CONCLUSIONS: IC recurred in 8.5% of patients during the six-year study period. Current smoking status and presence of AAA were identifying risk factors for recurrence of IC.

Original languageEnglish (US)
Pages (from-to)283-291
Number of pages9
JournalThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Volume63
Issue number5
DOIs
StatePublished - May 1 2014

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Ischemic Colitis
Multicenter Studies
Retrospective Studies
Length of Stay
Abdominal Aortic Aneurysm
Recurrence
Community Hospital
Artificial Respiration
Blood Transfusion
Medical Records
Intensive Care Units
Comorbidity

ASJC Scopus subject areas

  • Medicine(all)

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Risk factors of recurrent ischemic colitis : a multicenter retrospective study. / Sherid, Muhammed; Sifuentes, Humberto; Samo, Salih; Sulaiman, Samian; Husein, Husein; Tupper, Ruth; Spurr, Charles; Vainder, John; Sridhar, Subbaramiah.

In: The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, Vol. 63, No. 5, 01.05.2014, p. 283-291.

Research output: Contribution to journalArticle

Sherid, Muhammed ; Sifuentes, Humberto ; Samo, Salih ; Sulaiman, Samian ; Husein, Husein ; Tupper, Ruth ; Spurr, Charles ; Vainder, John ; Sridhar, Subbaramiah. / Risk factors of recurrent ischemic colitis : a multicenter retrospective study. In: The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi. 2014 ; Vol. 63, No. 5. pp. 283-291.
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abstract = "BACKGROUND/AIMS: Recurrence of ischemic colitis (IC) has not been studied extensively. The aim of this study was to investigate the characteristics of recurrent IC in the community setting and to identify any risk factors.METHODS: We conducted a retrospective study in two community hospitals. Medical records of patients with IC from January 2007 to January 2013 were reviewed. Demographic details, clinical features, co- morbidities, concomitant use of medications,laboratory studies, imaging findings, endoscopic and histological features, surgery, hospital stay, and death within 30 days were collected. Patients were divided into two groups (recurrent IC group, non-recurrent IC group).RESULTS: A total of 118 patients with IC were identified. IC recurred in 10 patients (8.5{\%}) during the study period. Half of the patients in the recurrent IC group were current smokers as compared to only 18.7{\%} of patients in the non-recurrent group. In the recurrent IC group, 20.0{\%} of patients never smoked as compared to 61.7{\%} in the non-recurrent group (p=0.027).Abdominal aortic aneurysm (AAA) was more frequent in the recurrent IC group (40.0{\%} vs. 4.7{\%}; p=0.003). No differences in other clinical symptoms, CT scan findings, comorbidities, endoscopic features, or use of concomitant medications were observed between the two groups. The need for surgical intervention, blood transfusion, intensive care unit stay, mechanical ventilation,length of hospital stay, and anatomic location of affected segments did not differ between the two groups.CONCLUSIONS: IC recurred in 8.5{\%} of patients during the six-year study period. Current smoking status and presence of AAA were identifying risk factors for recurrence of IC.",
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T1 - Risk factors of recurrent ischemic colitis

T2 - a multicenter retrospective study

AU - Sherid, Muhammed

AU - Sifuentes, Humberto

AU - Samo, Salih

AU - Sulaiman, Samian

AU - Husein, Husein

AU - Tupper, Ruth

AU - Spurr, Charles

AU - Vainder, John

AU - Sridhar, Subbaramiah

PY - 2014/5/1

Y1 - 2014/5/1

N2 - BACKGROUND/AIMS: Recurrence of ischemic colitis (IC) has not been studied extensively. The aim of this study was to investigate the characteristics of recurrent IC in the community setting and to identify any risk factors.METHODS: We conducted a retrospective study in two community hospitals. Medical records of patients with IC from January 2007 to January 2013 were reviewed. Demographic details, clinical features, co- morbidities, concomitant use of medications,laboratory studies, imaging findings, endoscopic and histological features, surgery, hospital stay, and death within 30 days were collected. Patients were divided into two groups (recurrent IC group, non-recurrent IC group).RESULTS: A total of 118 patients with IC were identified. IC recurred in 10 patients (8.5%) during the study period. Half of the patients in the recurrent IC group were current smokers as compared to only 18.7% of patients in the non-recurrent group. In the recurrent IC group, 20.0% of patients never smoked as compared to 61.7% in the non-recurrent group (p=0.027).Abdominal aortic aneurysm (AAA) was more frequent in the recurrent IC group (40.0% vs. 4.7%; p=0.003). No differences in other clinical symptoms, CT scan findings, comorbidities, endoscopic features, or use of concomitant medications were observed between the two groups. The need for surgical intervention, blood transfusion, intensive care unit stay, mechanical ventilation,length of hospital stay, and anatomic location of affected segments did not differ between the two groups.CONCLUSIONS: IC recurred in 8.5% of patients during the six-year study period. Current smoking status and presence of AAA were identifying risk factors for recurrence of IC.

AB - BACKGROUND/AIMS: Recurrence of ischemic colitis (IC) has not been studied extensively. The aim of this study was to investigate the characteristics of recurrent IC in the community setting and to identify any risk factors.METHODS: We conducted a retrospective study in two community hospitals. Medical records of patients with IC from January 2007 to January 2013 were reviewed. Demographic details, clinical features, co- morbidities, concomitant use of medications,laboratory studies, imaging findings, endoscopic and histological features, surgery, hospital stay, and death within 30 days were collected. Patients were divided into two groups (recurrent IC group, non-recurrent IC group).RESULTS: A total of 118 patients with IC were identified. IC recurred in 10 patients (8.5%) during the study period. Half of the patients in the recurrent IC group were current smokers as compared to only 18.7% of patients in the non-recurrent group. In the recurrent IC group, 20.0% of patients never smoked as compared to 61.7% in the non-recurrent group (p=0.027).Abdominal aortic aneurysm (AAA) was more frequent in the recurrent IC group (40.0% vs. 4.7%; p=0.003). No differences in other clinical symptoms, CT scan findings, comorbidities, endoscopic features, or use of concomitant medications were observed between the two groups. The need for surgical intervention, blood transfusion, intensive care unit stay, mechanical ventilation,length of hospital stay, and anatomic location of affected segments did not differ between the two groups.CONCLUSIONS: IC recurred in 8.5% of patients during the six-year study period. Current smoking status and presence of AAA were identifying risk factors for recurrence of IC.

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