Tsukada T, Nakano T, Matsui D, Sasaki S. Stenotic ischemic colitis treated with laparoscopy-assisted surgery. World J Gastrointest Surg 2012; 4(8): 203-207 [PMID: 23293734 DOI: 10.4240/wjgs.v4.i8.203]
Corresponding Author of This Article
Tomoya Tsukada, MD, PhD, Department of Gastroenterologic Surgery, Division of Cancer Medicine, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, Japan. tkd_tmy@nifty.com
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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Tomoya Tsukada, Tatsuo Nakano, Daisuke Matsui, Shozo Sasaki, Department of Surgery, Asanogawa General Hospital, Kanazawa, Ishikawa 920-8621, Japan
Tomoya Tsukada, Daisuke Matsui, Department of Gastroenterological Surgery, Division of Cancer Medicine, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, Japan
Author contributions: Tsukada T contributed to the treatment of the patient, collected details of the case, reviewed the literature, and drafted the manuscript; Nakano T contributed to the treatment of the patient and helped in the drafting of the manuscript; Matsui D and Sasaki S also contributed to the treatment of the patients; all authors have read and approved the final manuscript.
Correspondence to: Tomoya Tsukada, MD, PhD, Department of Gastroenterologic Surgery, Division of Cancer Medicine, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8641, Japan. tkd_tmy@nifty.com
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Received: October 15, 2011 Revised: July 19, 2012 Accepted: August 2, 2012 Published online: August 27, 2012
Abstract
Ischemic colitis is the most common type of intestinal ischemia. The etiology of this condition is multifactorial, and the diagnosis is based on a combination of clinical symptoms, as well as endoscopic and histological findings. Although conservative therapy is effective in most cases, surgery still plays a key role in the treatment of ischemic colitis. Here, we describe a case of a 73-year-old man in whom laparoscopy-assisted left colectomy was performed 80 d after the onset of ischemic colitis. He recovered completely after surgery, and the pathological findings were consistent with ischemic colitis. To the best of our knowledge, there are no detailed reports of laparoscopic surgery for chronic segmental stenotic ischemic colitis. We discussed the usefulness of laparoscopic surgery, comparing it with endoscopic treatment, and we propose an optimal treatment strategy from a viewpoint of stenosis length and duration of disease.
