Intestinal ischemia and infarction - Treatment
Intestinal necrosis; Ischemic bowel; Dead bowel; Dead gut
Treatment usually requires surgery. The section of intestine that has died is removed, and the healthy remaining ends of bowel reconnected.
In some cases, a colostomy or ileostomy is necessary. A blockage of arteries supplying the intestine is corrected if possible.
Intestinal ischemia is a serious condition that can result in death if not treated promptly. The outlook depends on the cause. A good outcome may be achieved with prompt treatment.
Intestinal infarction may require a colostomy or ileostomy, either temporary or permanent. Peritonitis is common in such cases.
Severe illness with fever and bloodstream infection (sepsis) can result.
Calling your health care provider:
Call your health care provider if you have any severe abdominal pain.
- Reviewed last on: 1/20/2010
- David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Fry RD, Mahmoud N, Maron DJ, Ross HM, Rombeau J. Colon and rectum. In: Townsend CM Jr, Beauchamp RD, Evers MB, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 50.
Hauser SC. Vascular diseases of the gastrointestinal tract. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 146.
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