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Right-Side Colon Ischemia: Clinical Features, Large Visceral Artery Occlusion, and Long-Term Follow-Up #MMPMID26263388
Longstreth GF; Hye RJ
Perm J 2015[Fal]; 19 (4): 11-6 PMID26263388show ga
Large visceral artery occlusion (LVAO) could underlie right-side colon ischemia (RSCI) but is little known. In a retrospective observational study in an integrated health care system, 19 of 49 patients underwent surgery?5 of 6 developed RSCI in hospital following surgical procedures and 14 of 43 had RSCI before hospitalization. Among 44 survivors (median follow-up of 5.19 years) 5, including 3 of 15 operated cases, had symptomatic LVAO and underwent angioplasty and stent placement. Patients with RSCI may have symptomatic LVAO; therefore, we advise they undergo careful query for symptoms of abdominal angina and routine visceral artery imaging.