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1. Introduction
2. The spectrum of GI ischemic disorders
3. Estimated incidences of colon ischemia
4. Risk factors for colon ischemia
5. Causes of colon ischemia
6. CT scan showing thickened left colon
7. Colonic gangrene
8. Post-colonoscopy colon ischemia
9. Thrombophilia and colon ischemia
10. Spectrum of colon ischemia
11. Reversible colon ischemia
12. 3 BE showing the natural history of colon ischemia
13. Colonoscopy showing colon ischemia recovery
14. Effects of increasing colon intraluminal pressure
15. Using CT to show the location of involvement
16. Irreversible colon ischemia
17. Gangrene involving the cecum
18. Gangrene as seen in colonoscopy
19. A reconstructed CT scouting image
20. Subepithelial haemorrhage, edema (thumbprints)
21. Colon stricture
22. CT's showing thickened bowel and stricture
23. Anatomic patterns of colon ischemia
24. Patterns of colon ischemia: Left colon
25. Patterns of colon ischemia: Distal colon
26. Patterns of colon ischemia: Transverse colon
27. Patterns of colon ischemia: Pan colon
28. BE showing isolated thumbprinting
29. Small intestine and right colon involvement
30. Patterns of colon ischemia: Right colon
31. Outcomes (IRCI vs. non-IRCI)
32. Surgery requirements (IRCI vs. non-IRCI)
33. 30-day mortality (IRCI vs. non-IRCI)
34. Presence of SMA occlusion (IRCI vs. non-IRCI)
35. Outcomes with SMA occlusion (IRCI vs. non-IRCI)
36. Survival rates in biopsy-proven colon ischemia pts
37. Outcomes of anatomic patterns of IC
38. Isolated right-sided colon ischemia
39. Segmental colitis
40. Late-onset symptoms of IBD
41. Pan colitis (fulminant universal colitis)
42. Proximal left colon stricture with lesion in sigmoid
43. A colon resection specimen
44. Lesions predisposing to colon ischemia
45. Colon ischemia vs. AMI - upon presentation
46. Acute mesenteric ischemia
47. Mortality rates of AMI
48. Basics of AMI
49. The physiology of AMI (1)
50. The physiology of AMI (2)
51. The physiology of AMI (3)
52. AMI: role of vasoconstriction
53. Principles in managing AMI
54. Aggressive management for suspected AMI
55. Gangrene of the small intestine
56. Patients at risk for AMI
57. Plain film of the abdomen (or CT)
58. Principles of resuscitation of patients with AMI
59. Mesenteric angiography
60. Use of angiography in AMI
61. Vasodilation following intra-arterial Papaverine
62. Angiogram in hypotensive patients
63. Angiogram of a patient with SMA emboli
64. Non-surgical therapy of SMA emboli
65. Outcome of AMI
66. Focal segmental ischemia
67. SMA thrombus
68. Chronic SMA occlusion with meandering artery
69. CTA: SMA occlusion
70. Mesenteric venous thrombosis (1)
71. Mesenteric venous thrombosis (2)
72. CTA: normal SMV
73. CT showing Thrombi, dead and dying bowels
74. CT showing aggregation of collateral vessels
75. Chronic mesenteric ischemia (intestinal angina)
76. Don't operate on the X-ray, operate on the patient
77. Reconstructing images using modern technology
78. Chronic mesenteric ischemia
79. Revascularization for CMI - PTMA vs. surgery
80. Thank you

Topics Covered

• Ischemic disease of the gastrointestinal tract manifests a spectrum of injury that includes ischemic colitis, acute mesenteric ischemia, focal segmental ischemia and intestinal angina, each with its own presentations, management strategies, and outcomes
• This lecture will review fundamental s of each of the types of ischemic damage to the gastrointestinal tract

Links

Series:

• Gastroenterology and Hepatology

Categories:

• Clinical Practice

Therapeutic Areas:

• Gastroenterology & Nephrology

Talk Citation

Brandt, L.J. (2011, January 24). The spectrum of gastrointestinal ischemia: 2010 [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved April 20, 2024, from https://hstalks.com/bs/1910/.
Export Citation (RIS)

Publication History

• Published on January 24, 2011
• Archived on February 27, 2022

Financial Disclosures

• Prof. Lawrence J. Brandt has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.