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Neuhaus, L. and Török, H. P. (2021): Ischämische Enterokolitis – Ursachen und Therapie. In: Gastroenterologe, Vol. 16, No. 2: pp. 68-78

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Mesenteric or colonic ischemias are diseases that can take a rapid and severe clinical course with high mortality. Colonic ischemia is the most common form of ischemia in the gastrointestinal (GI) tract, whereas mesenteric ischemia is usually associated with the worst prognosis. In order to correctly identify the cause of the diseases, an understanding of the anatomy of the vascular system of the GI tract is crucial. Based on this, patterns of ischemic damage, clinical course and therapy can be deduced. Occlusive vascular changes are involved primarily in mesenteric ischemia, while ischemic colitis is usually the result of non-occlusive damage. It is of crucial clinical importance to know whether gangrenous ischemia is present. In this cases, surgery is most often mandatory. Besides surgery, endovascular interventions also play an important role. In ischemic colitis, a mild, self-limiting course is commonly observed and conservative management is possible in most cases.

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