Article ; Online: Acute Mesenteric Ischemia: A Challenge for the Acute Care Surgeon.
2021 Volume 110, Issue 2, Page(s) 150–158
Abstract: Acute mesenteric ischemia is considered uncommon, but it appears to be more frequent cause of acute abdomen than appendicitis or ruptured abdominal aortic aneurysm in elderly patients. Surgical treatment without revascularization is associated with high ... ...
Abstract | Acute mesenteric ischemia is considered uncommon, but it appears to be more frequent cause of acute abdomen than appendicitis or ruptured abdominal aortic aneurysm in elderly patients. Surgical treatment without revascularization is associated with high overall mortality, up to 80%. The modern treatment of acute mesenteric ischemia requires collaboration of gastrointestinal surgeons, vascular surgeons, and interventional radiologists. Early revascularization may reduce the overall mortality associated with acute mesenteric ischemia by up to 50%. Clinical suspicion and contrast-enhanced computed tomography performed at early stage are keys to improve outcomes of acute mesenteric ischemia treatment. This review summarizes what the acute care surgeon needs to know about acute mesenteric ischemia with special emphasis on slowly progressing "acute on chronic" mesenteric ischemia. |
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MeSH term(s) | Acute Disease ; Aged ; Aortic Rupture ; Humans ; Ischemia/diagnostic imaging ; Ischemia/etiology ; Mesenteric Ischemia/diagnostic imaging ; Mesenteric Ischemia/etiology ; Surgeons ; Vascular Surgical Procedures |
Language | English |
Publishing date | 2021-04-19 |
Publishing country | England |
Document type | Journal Article ; Review |
ZDB-ID | 2077691-3 |
ISSN | 1799-7267 ; 1457-4969 |
ISSN (online) | 1799-7267 |
ISSN | 1457-4969 |
DOI | 10.1177/14574969211007590 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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