Although frequent in the elderly, younger patients may also be affected. The colon is also predisposed to ischemia by its relatively low blood flow compared with the rest of the gastrointestinal tract. There are no endoscopic findings that are specific for ischemia, thus the clinical setting must be considered. Findings that favor ischemic colitis rather than inflammatory bowel disease are segmental area of injury, abrupt transition between normal and affected mucosa, rectal sparing, and a rapid resolution of mucosal changes on serial colonoscopy.
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