Akútna mezenteriálna ischemia
:
K. Radwan; M. Bátovský
:
Gastroenterologická klinika SZU a UNB Bratislava
:
Gastroent Hepatol 2011; 65(1): 9-14
:
Clinical and Experimental Gastroenterology: Review Article
Akútna mezenteriálna ischemia (AMI) je akútne život ohrozujúce ochorenie s vysokou mortalitou, vyžadujúce včasné rozpoznanie a rýchle zahájenie liečby skôr, ako dôjde k vzniku črevnej infarzácie. AMI môže byť spôsobená okluzívnou alebo neokluzívnou obštrukciou arteriálneho alebo venózneho cievneho zásobenia. Klinické prejavy môžu byť rôzne, od pomalého nástupu difúznej bolesti brucha až po náhly vznik kruhých a trvalých bolestí. Klinické podozrenie na AMI si vyžaduje včasnú rádiologickú diagnostiku použitím CT angiografie, konvenčnej angiografie alebo exploratívnej chirurgickej intervencie u pacientov s príznakmi peritoneálneho dráždenia. Cieľom liečby u pacientov s AMI je čo najrýchlejšie obnovenie krvného zásobenia čreva. Liečba spočíva v mezenteriálnej revaskularizácii a resekcii nekrotických častí čreva.
Kľúčové slová:
akútna mezenteriálna ischemia – CT angiografia – mezenteriálna revaskularizácia
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