Acute mesenteric ischemia – a persistent problem

Česká verze

Authors: M. Kunychka; J. Váňa; M. Žáček; M. Chromčiková
Authors place of work: Chirurgia, Fakultná nemocnica s poliklinikou Žilina, Slovenská republika
Published in the journal: Rozhl. Chir., 2023, roč. 102, č. 6, s. 228-235.
Category: Souhrnné sdělení
doi: https://doi.org/10.33699/PIS.2023.102.6.228–235

Summary

Acute mesenteric ischemia is a disease with a relatively low incidence (0,02–0,9% of acute surgical hospitalizations) but a very high mortality rate which can reach up to 100% without early revascularization. Given the above, prompt and accurate diagnosis and subsequent surgical intervention is the cornerstone of treatment and essential to reduce the high mortality rate. Early revascularization can reduce overall mortality by up to 50%. Treatment of acute mesenteric ischemia requires the cooperation of gastrointestinal surgeons, vascular surgeons and interventional radiologists. Thorough clinical examination, contrast computed tomography performed at the initial stage, and the current possibilities of interventional radiology are the keys to improving the results of treatment of acute mesenteric ischemia. The purpose of this paper is to refresh knowledge in the management of acute mesenteric ischemia and summarize the most up-to-date information on the diagnosis and treatment of this disease.

Keywords:

acute mesenteric ischemia – mesenteric arterial embolism – non-occlusive mesenteric ischemia – mesenteric venous thrombosis – occlusive mesenteric ischemia

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