Ischemic colitis was first described in relation to vascular surgeries and continues to be a potential complication of aortic or cardiac bypass surgery. Aortic surgery is associated with a 1% to 7% incidence of ischemic colitis, often caused by iatrogenic IMA ligation or intraoperative hypoperfusion in patients with chronic IMA occlusion, and usually affects the distal left colon.
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