Frequent clinical follow up of the abdomen, careful monitoring of vital signs and serial radiographic and colonoscopic examinations are needed. Small delay in second-look operation, 72 hours, promotes the viability of the colonic mucosa and the anastomotic healing. This procedure offers a survival rate of almost 65%.

• The secondary prevention for ischemic colitis is as follows:^[1][2]
  • Frequent clinical follow up of the abdomen to document healing or the development of strictures or persistent colitis.
  • Careful monitoring of vital signs.
  • Serial radiographic and colonoscopic examinations.
  • Clinical suspicion of colonic infarction requires an emergency laparotomy.
  • Patient may have persistent diarrhea, rectal bleeding or repeated episodes of sepsis, which may lead to perforation. 
  • Small delay in second-look operation, 72 hours, promotes the viability of the colonic mucosa and the anastomotic healing.
    • This procedure offers a survival rate of almost 65%.