{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T18:40:54Z","timestamp":1781030454477,"version":"3.54.1"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T00:00:00Z","timestamp":1571788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T00:00:00Z","timestamp":1571788800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T00:00:00Z","timestamp":1571788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>There are currently no guidelines on the long\u2010term management of patients after an episode of acute ischaemic colitis. Our aim was to review the literature on the pattern of presentation and the pathophysiology of this condition and to understand the current status of the acute and long\u2010term management of ischaemic colitis. Furthermore, we aim to provide recommendations for the clinicians in regard to the acute and long\u2010term management of ischaemic colitis. A review of the English literature over the last 15 years was performed using Embase and Medline. Search terms were ischaemic OR ischemic, colitis OR colon. Two reviewers screened the papers against pre\u2010determined eligibility criteria. A senior consultant surgeon performed a final overview. Three hundred sixty\u2010eight papers were identified on the initial search; 318 were irrelevant and 17 were conference abstracts; both were excluded. Thirty\u2010three full articles were assessed for suitability; nine were further excluded. Twenty\u2010four articles were included in the final analysis and cross\u2010referenced against those listed in the systematic reviews. There is a large clinical heterogeneity in inclusion criteria (histological, radiological, endoscopic, surgical specimen). Twelve out of 24 articles included patients only based on histological diagnosis. The definition of right and left (or nonright) ischaemic colitis was variable based on whether hepatic or splenic flexure was used as the cut\u2010off point. Five retrospective case series highlighted that patients with isolated right\u2010sided ischaemic colitis had a worse prognosis than those with left\u2010sided colitis (higher mortality, need for surgery, length of hospital stay). The overall recurrence was 9%. There is a need for a higher\u2010level evidence to guide clinicians on the long\u2010term management of patients following an episode of acute colonic ischaemia. Further evidence is required to determine whether right colonic ischaemia should be managed differently from left.<\/jats:p>","DOI":"10.1007\/s00268-019-05248-9","type":"journal-article","created":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T23:33:47Z","timestamp":1571873627000},"page":"927-938","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["The Pathophysiology, Presentation and Management of Ischaemic Colitis: A Systematic Review"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1766-1652","authenticated-orcid":false,"given":"George","family":"Demetriou","sequence":"first","affiliation":[{"name":"Department of General Surgery South Tyneside NHS Foundation Trust South Shields UK"},{"name":"Department of General Surgery Good Hope Hospital, University Hospitals Birmingham NHS Foundation Trust Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Nassar","sequence":"additional","affiliation":[{"name":"Department of General Surgery South Tyneside NHS Foundation Trust South Shields UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sriram","family":"Subramonia","sequence":"additional","affiliation":[{"name":"Department of General Surgery South Tyneside NHS Foundation Trust South Shields UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2014.395"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i6600"},{"issue":"130","key":"e_1_2_10_4_1","first-page":"336","article-title":"The outcomes and prognostic factors of surgical treatment for ischemic colitis: What can we do for a better outcome?","volume":"61","author":"Ryoo SB","year":"2014","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384\u2010011\u20101301\u2010x"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2005.09.018"},{"issue":"3","key":"e_1_2_10_7_1","first-page":"309","article-title":"Acute ischaemic colitis: outcome in elderly patients","volume":"58","author":"Leardi S","year":"2006","journal-title":"Chir Ital"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010151\u20104\u2010200908180\u201000135"},{"key":"e_1_2_10_9_1","unstructured":"Excellence NIFH(2018)Quality assessment for case series.http:\/\/www.nice.org.uk\/guidance\/cg3\/resources\/appendix\u20104\u2010quality\u2010of\u2010case\u2010series\u2010form2. Accessed 3 Nov 2018"},{"key":"e_1_2_10_10_1","unstructured":"WellsGA SheaB O'ConnellDet al (2008)The Newcastle\u2010Ottawa scale (NOS) for assessing the quality of nonrandomised studies in meta\u2010analyses.http:\/\/www.ohri.ca\/programs\/clinicalepidemiology\/oxford.asp. Accessed 14 Nov 18"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572\u20100241.2007.01341.x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2016.12.004"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2014.07.061"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/1751\u20102980.12182"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i44.8042"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050640616658219"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365520903513225"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0b013e3181b152c2"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2011.44.1.38"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017\u2010018\u20100193\u20102"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2010.217"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010003\u20100033\u20106"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.05.039"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/1751\u20102980.12045"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039\u20106060(03)00308\u20108"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010011\u20101205\u20105"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/15-024"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365521.2010.525794"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1443\u20109573.2003.t01\u20101\u201000118.x"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2014.02.013"},{"key":"e_1_2_10_31_1","unstructured":"Oxford Centre for Evidence based Medicine(2009).https:\/\/www.cebm.net\/2009\/06\/oxford\u2010centre\u2010evidence\u2010based\u2010medicine\u2010levels\u2010evidence\u2010march\u20102009\/. Accessed 14 Nov 18"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101318.2012.03171.x"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v16.i36.4564"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13389"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101318.2010.02272.x"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100032\u20101329534"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-019-05248-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-019-05248-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-019-05248-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-019-05248-9","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T15:03:42Z","timestamp":1703343822000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-019-05248-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,23]]},"references-count":35,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1007\/s00268-019-05248-9"],"URL":"https:\/\/doi.org\/10.1007\/s00268-019-05248-9","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,23]]},"assertion":[{"value":"23 October 2019","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}