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A Journal on Surgery
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,877
REVIEWS CHALLENGING SURGICAL EMERGENCIES
Minerva Chirurgica 2010 June;65(3):297-302
Acute mesenteric ischemia
Ellis J., Sarac T. P.
Department of Vascular Surgery, Cleveland Clinic Lerner School of Medicine, Cleveland, OH, USA
Acute mesenteric ischemia is a life-threatening surgical emergency associated with high morbidity and mortality rates. Presentation, physical exam, laboratory values and non-invasive imaging may all be non-specific. Angiography remains the gold standard for diagnosis. Advanced age and delay in diagnosis are associated with increased morbidity and mortality rates. Treatment includes resuscitation, mesenteric revascularization and resection of necrotic bowel. Multiple options exist for revascularization and include both open and endovascular approaches.