Acute mesenteric ischemia: The what, why, and when?

Acute mesenteric ischemia (AMI) is a complex clinical problem with a high mortality. The mortality associated with AMI has declined steadily over the last three decades. This is due to higher index of suspicion among clinicians, advances in radiographic diagnostic modalities, aggressive surgical approach, endovascular intervention, nutritional supplementation, and better perioperative care. Early diagnosis and prompt, effective treatment are essential to improve the clinical outcome. This article reviews the etiopathogenesis, clinical features, management, and outcomes of AMI.

[1]  M. Toptaş,et al.  Novel hematologic inflammatory parameters to predict acute mesenteric ischemia , 2016, Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis.

[2]  X. Liao,et al.  Diagnosis and Treatment of Acute Mesenteric Ischemia: Clinical Analysis for 40 Cases of the Patients. , 2015, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.

[3]  M. Aldemir,et al.  Risk factors effecting mortality in acute mesenteric ischemia and mortality rates: a single center experience. , 2013, International surgery.

[4]  Evan J Ryer,et al.  Contemporary results of treatment of acute arterial mesenteric thrombosis: has endovascular treatment improved outcomes? , 2012, Perspectives in vascular surgery and endovascular therapy.

[5]  E. Alhan,et al.  A study on 107 patients with acute mesenteric ischemia over 30 years. , 2012, International journal of surgery.

[6]  N. Khandelwal,et al.  Role of multidetector CT angiography in the evaluation of suspected mesenteric ischemia. , 2011, European journal of radiology.

[7]  T. Sarac,et al.  A comparison of endovascular revascularization with traditional therapy for the treatment of acute mesenteric ischemia. , 2011, Journal of vascular surgery.

[8]  Xianzhi Meng,et al.  Indications and procedures for second-look surgery in acute mesenteric ischemia , 2010, Surgery Today.

[9]  Shuzo Kanasaki,et al.  CT diagnosis of acute mesenteric ischemia from various causes. , 2009, AJR. American journal of roentgenology.

[10]  S. Taghavi,et al.  Acute mesenteric ischemia: causes and mortality rates over sixteen years in southern Iran. , 2008, Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology.

[11]  P. Lin,et al.  Determinants of mortality and treatment outcome following surgical interventions for acute mesenteric ischemia. , 2007, Journal of vascular surgery.

[12]  D. C. Brewster,et al.  Surgical revascularization versus endovascular therapy for chronic mesenteric ischemia: a comparative experience. , 2007, Journal of vascular surgery.

[13]  J. Cronenwett,et al.  Retrograde mesenteric stenting during laparotomy for acute occlusive mesenteric ischemia. , 2007, Journal of vascular surgery.

[14]  Yoshio Mishima.  Acute mesenteric ischemia , 2006, The Japanese journal of surgery.

[15]  C. Burger,et al.  Acute mesenteric ischemia: a clinical review. , 2004, Archives of internal medicine.

[16]  W. Harmsen,et al.  Contemporary management of acute mesenteric ischemia: Factors associated with survival. , 2002, Journal of vascular surgery.

[17]  K. Ouriel,et al.  Chronic mesenteric ischemia: open surgery versus percutaneous angioplasty and stenting. , 2001, Journal of vascular surgery.

[18]  N. Mamode,et al.  Failure to improve outcome in acute mesenteric ischaemia: seven-year review. , 1999, The European journal of surgery = Acta chirurgica.

[19]  J. Hallett,et al.  Mesenteric venous thrombosis: still a lethal disease in the 1990s. , 1994, Journal of vascular surgery.

[20]  T. Gorey,et al.  Operative assessment of intestinal viability. , 1992, The Surgical clinics of North America.

[21]  P. Pairolero,et al.  The role of intravenous fluorescein in the detection of colon ischemia during aortic reconstruction , 1992, Annals of vascular surgery.

[22]  S. Hamilton,et al.  Protection of the small intestine from nonocclusive mesenteric ischemic injury due to cardiogenic shock. , 1987, American journal of surgery.