Acute Mesenteric Ischemia: A Challenge for the Acute Care Surgeon.
Jussi M KärkkäinenPublished in: Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society (2021)
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.
Keyphrases
- liver failure
- respiratory failure
- computed tomography
- aortic dissection
- drug induced
- early stage
- acute care
- magnetic resonance imaging
- abdominal aortic aneurysm
- hepatitis b virus
- acute coronary syndrome
- intensive care unit
- cardiovascular disease
- radiation therapy
- artificial intelligence
- cardiovascular events
- metabolic syndrome
- mechanical ventilation
- rectal cancer
- deep learning
- weight loss