The Ongoing Challenge of Acute Mesenteric Ischemia

Visceral Medicine
Bernd LutherErnst Klar

Abstract

The lethality of acute mesenteric ischemia (AMI) remains quite high with 50-70%. The main reasons for that are the fact that AMI is rarely taken into consideration by the differential diagnosis of acute abdomen, the time-consuming diagnostic process, and the lack of a standardized therapeutic concept. The present interdisciplinary review aims to increase awareness among physicians and to help improve clinical outcomes. This clinical therapeutic review is based on author expertise as well as a selective literature survey in PubMed based on the term 'mesenteric ischemia', combined with the terms 'arterial', 'clinical presentation', 'diagnosis', 'therapy', 'surgery', and 'interventional radiology'. Based on these search results as well as on the guidelines of the German Society of Vascular Surgery, the American College of Cardiology, and the American Heart Association, we present an interdisciplinary treatment concept. AMI is a vascular emergency that can be successfully treated only within the first hours after the onset of symptoms. Computed tomography angiography is the diagnostic method of choice. Intensive care unit treatment can prevent the occurrence of multiple organ failure. Treatment primarily consists of the revasculari...Continue Reading

References

Mar 11, 2005·Journal of Vascular and Interventional Radiology : JVIR·Ivo G SchootsThomas M van Gulik
Mar 20, 2010·Seminars in Vascular Surgery·Mark C Wyers
Apr 27, 2012·Deutsches Ärzteblatt International·Ernst KlarBernd Luther
May 14, 2014·Journal of Vascular Surgery·Juliette T M BlauwUNKNOWN Multidisciplinary Study Group of Mesenteric Ischemia
Aug 12, 2014·World Journal of Gastroenterology : WJG·Stefan Acosta
Aug 6, 2015·Journal of Vascular Surgery·Arnaud RousselOlivier Corcos
Aug 19, 2015·Critical Care : the Official Journal of the Critical Care Forum·Hendrik J F HelmerhorstDavid J van Westerloo
Mar 15, 2016·World Journal of Gastroenterology : WJG·Joep GrootjansJoep P M Derikx
Oct 14, 2016·Redox Report : Communications in Free Radical Research·A TassopoulosT Xanthos
Jan 20, 2017·Intensive Care Medicine·Andrew RhodesR Phillip Dellinger
Aug 11, 2017·World Journal of Emergency Surgery : WJES·Miklosh BalaFausto Catena

❮ Previous
Next ❯

Citations

Apr 18, 2020·Scandinavian Journal of Gastroenterology·Giuseppe LippiFabian Sanchis-Gomar
Jul 30, 2020·FASEB Journal : Official Publication of the Federation of American Societies for Experimental Biology·Zoe V SchofieldTrent M Woodruff
Oct 28, 2019·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Oliver BeetzKai Timrott
Aug 3, 2020·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Oliver BeetzKai Timrott
May 31, 2019·BMC Gastroenterology·Martin CaluwaertsPhilippe Hantson
Jun 17, 2020·Archives of Iranian Medicine·Hamed NikoupoorSaman Nikeghbalian
Nov 11, 2019·International Journal of Colorectal Disease·Asad JehangirEugene P York
Mar 19, 2020·Current Gastroenterology Reports·Karthik Gnanapandithan, Paul Feuerstadt
Mar 20, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Meer M Chisthi
Apr 21, 2020·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·Alois HollerwegerOdd Helge Gilja
Jan 1, 2021·Oxidative Medicine and Cellular Longevity·Marwan AlmoiliqyYuan Lin
Jan 5, 2021·Current Opinion in Critical Care·Annika Reintam BlaserYaseen M Arabi
Oct 27, 2020·The International Journal of Angiology : Official Publication of the International College of Angiology, Inc·Y ErbenA G Hakaim
Mar 26, 2021·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Ahmet AkkocaNizamettin Dalkilic
Apr 30, 2021·Insights Into Imaging·Amir H DavarpanahAmir Reza Radmard
Jun 1, 2021·BioMed Research International·Hassan Adnan Bukhari, Anand Kumar
Aug 15, 2021·Advances in Surgery·Kristofor A Olson, Pedro G Teixeira
Aug 28, 2021·World Journal of Gastroenterology : WJG·Monjur Ahmed
Aug 27, 2021·World Journal of Clinical Cases·Sheng-Yang ZhangQiang Mao
Oct 3, 2020·Visceral Medicine·Florian KühnErnst Klar
Jan 26, 2022·The American Surgeon·İlker KaçerNazire Belgin Akıllı

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.