Author:
Bala Miklosh,Catena Fausto,Kashuk Jeffry,De Simone Belinda,Gomes Carlos Augusto,Weber Dieter,Sartelli Massimo,Coccolini Federico,Kluger Yoram,Abu-Zidan Fikri M.,Picetti Edoardo,Ansaloni Luca,Augustin Goran,Biffl Walter L.,Ceresoli Marco,Chiara Osvaldo,Chiarugi Massimo,Coimbra Raul,Cui Yunfeng,Damaskos Dimitris,Di Saverio Salomone,Galante Joseph M.,Khokha Vladimir,Kirkpatrick Andrew W.,Inaba Kenji,Leppäniemi Ari,Litvin Andrey,Peitzman Andrew B.,Shelat Vishal G.,Sugrue Michael,Tolonen Matti,Rizoli Sandro,Sall Ibrahima,Beka Solomon G.,Di Carlo Isidoro,Ten Broek Richard,Mircea Chirika,Tebala Giovanni,Pisano Michele,van Goor Harry,Maier Ronald V.,Jeekel Hans,Civil Ian,Hecker Andreas,Tan Edward,Soreide Kjetil,Lee Matthew J.,Wani Imtiaz,Bonavina Luigi,Malangoni Mark A.,Koike Kaoru,Velmahos George C.,Fraga Gustavo P.,Fette Andreas,de’Angelis Nicola,Balogh Zsolt J.,Scalea Thomas M.,Sganga Gabriele,Kelly Michael D.,Khan Jim,Stahel Philip F.,Moore Ernest E.
Abstract
AbstractAcute mesenteric ischemia (AMI) is a group of diseases characterized by an interruption of the blood supply to varying portions of the intestine, leading to ischemia and secondary inflammatory changes. If untreated, this process may progress to life-threatening intestinal necrosis. The incidence is low, estimated at 0.09–0.2% of all acute surgical admissions, but increases with age. Although the entity is an uncommon cause of abdominal pain, diligence is required because if untreated, mortality remains in the range of 50%. Early diagnosis and timely surgical intervention are the cornerstones of modern treatment to reduce the high mortality associated with this entity. The advent of endovascular approaches in parallel with modern imaging techniques is evolving and provides new treatment options. Lastly, a focused multidisciplinary approach based on early diagnosis and individualized treatment is essential. Thus, we believe that updated guidelines from World Society of Emergency Surgery are warranted, in order to provide the most recent and practical recommendations for diagnosis and treatment of AMI.
Publisher
Springer Science and Business Media LLC
Subject
Emergency Medicine,Surgery