ESTES guidelines: acute mesenteric ischaemia

被引:237
作者
Tilsed, J. V. T. [1 ]
Casamassima, A. [2 ]
Kurihara, H. [3 ]
Mariani, D. [4 ]
Martinez, I. [5 ]
Pereira, J. [6 ]
Ponchietti, L. [7 ]
Shamiyeh, A. [8 ]
al-Ayoubi, F. [9 ]
Barco, L. A. B. [10 ]
Ceolin, M. [3 ]
D'Almeida, A. J. G. [11 ]
Hilario, S. [12 ]
Olavarria, A. L. [13 ]
Ozmen, M. M. [14 ]
Pinheiro, L. F. [15 ]
Poeze, M. [16 ]
Triantos, G. [17 ]
Fuentes, F. T. [18 ]
Sierra, S. U. [19 ]
Soreide, K. [20 ,21 ]
Yanar, H. [22 ]
机构
[1] Hull & East Yorkshire Hosp NHS Trust, Surg Hlth Care Grp, Kingston Upon Hull, N Humberside, England
[2] Ist Clin Cita, Dept Emergency, Milan, Italy
[3] Humanitas Res Hosp, Emergency Surg & Trauma Unit, Rozzano, Italy
[4] Osped Legnano, Dept Gen Surg, Milan, Italy
[5] Hosp Univ Torrevieja, Serv Cirugia Gen & Digest, Torrevieja, Spain
[6] Surg 1 Tondela Viseu Hosp Ctr, Viseu, Portugal
[7] Milton Keynes Hosp NHS Fdn Trust, Dept Surg, Milton Keynes, Bucks, England
[8] Johannes Kepler Univ Linz, Clin Linz, Dept Surg 2, A-4040 Linz, Austria
[9] Mafraq Hosp, Div Trauma & Acute Care Surg, Abu Dhabi, U Arab Emirates
[10] Univ Hosp Torrevieja, Dept Angiol & Vacular Surg, Torrevieja, Spain
[11] Ctr Hosp Vila Nova De Gaia Espinho, Dept Gen Surg, Vila Nova De Gaia, Portugal
[12] Santo Andre Hosp, Dept Surg 2, Leiria, Portugal
[13] Hosp Galdakao Usansolo, Serv Cirugia Gen & Digest, Vizcaya, Spain
[14] Hacettepe Univ, Sch Med, Dept Surg, TR-06100 Ankara, Turkey
[15] Hosp Sao Teotonio, Dept Gen Surg, Viseu, Portugal
[16] Maastricht Univ, Med Ctr, Dept Surg Intens Care Med, NL-6200 MD Maastricht, Netherlands
[17] Rhodes Gen Hosp, Dept Gen Surg, Rhodes, Greece
[18] Univ Gen Hosp Gregorio Maranon, Gen Surg & Emergency Surg 2, Madrid, Spain
[19] Galdakao Usansolo Hosp, Dept Surg, Galdakao, Vizcaya, Spain
[20] Univ Bergen, Dept Clin Med, Bergen, Norway
[21] Stavanger Univ Hosp, Dept Gastrointestinal Surg, Stavanger, Norway
[22] Istanbul Univ, Istanbul Fac Med, Dept Gen Surg, Istanbul, Turkey
关键词
Acute mesenteric ischaemia; Diagnosis; Clinical management; Guidelines; ACUTE INTESTINAL ISCHEMIA; DAMAGE CONTROL SURGERY; EARLY-DIAGNOSIS; SURGICAL-MANAGEMENT; COMPUTED-TOMOGRAPHY; HYDROXYETHYL STARCH; VENOUS THROMBOSIS; VEIN-THROMBOSIS; RISK-FACTORS; PERIOPERATIVE MORTALITY;
D O I
10.1007/s00068-016-0634-0
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Acute mesenteric ischaemia (AMI) accounts for about 1:1000 acute hospital admissions. Untreated, AMI will cause mesenteric infarction, intestinal necrosis, an overwhelming inflammatory response and death. Early intervention can halt and reverse this process leading to a full recovery, but the diagnosis of AMI is difficult and failure to recognize AMI before intestinal necrosis has developed is responsible for the high mortality of the disease. Early diagnosis and prompt treatment are the goals of modern therapy, but there are no randomized controlled trials to guide treatment and the published literature contains a high ratio of reviews to original data. Much of that data comes from case reports and often small, retrospective series with no clearly defined treatment criteria. A study group of the European Society for Trauma and Emergency Surgery (ESTES) was formed in 2013 with the aim of developing guidelines for the management of AMI. A comprehensive literature search was performed using the Medical Subject Heading (MeSH) thesaurus keywords "mesenteric ischaemia", "bowel ischaemia" and "bowel infarction". The bibliographies of relevant articles were screened for additional publications. After an initial systematic review of the literature by the whole group, a steering group formulated questions using a modified Delphi process. The evidence was then reviewed to answer these questions, and recommendations formulated and agreed by the whole group. The resultant recommendations are presented in this paper. The aim of these guidelines is to provide recommendations for practice that will lead to improved outcomes for patients.
引用
收藏
页码:253 / 270
页数:18
相关论文
共 141 条
[1]   Acute mesenteric ischemia after cardio-pulmonary bypass surgery [J].
Abboud, Bassam ;
Daher, Ronald ;
Boujaoude, Joe .
WORLD JOURNAL OF GASTROENTEROLOGY, 2008, 14 (35) :5361-5370
[2]  
Abu-Laban Riyad B., 1995, Journal of Emergency Medicine, V13, P857, DOI 10.1016/0736-4679(95)02024-1
[3]   Modern treatment of acute mesenteric ischaemia [J].
Acosta, S. ;
Bjorck, M. .
BRITISH JOURNAL OF SURGERY, 2014, 101 (01) :E100-E108
[4]   Surgical management of peritonitis secondary to acute superior mesenteric artery occlusion [J].
Acosta, Stefan .
WORLD JOURNAL OF GASTROENTEROLOGY, 2014, 20 (29) :9936-9941
[5]   Current status on plasma biomarkers for acute mesenteric ischemia [J].
Acosta, Stefan ;
Nilsson, Torbjorn .
JOURNAL OF THROMBOSIS AND THROMBOLYSIS, 2012, 33 (04) :355-361
[6]   Epidemiology of Mesenteric Vascular Disease: Clinical Implications [J].
Acosta, Stefan .
SEMINARS IN VASCULAR SURGERY, 2010, 23 (01) :4-8
[7]   Identification of risk factors for perioperative mortality in acute mesenteric ischemia [J].
Acosta-Merida, Maria Asuncion ;
Marchena-Gomez, Joaquin ;
Hemmersbach-Miller, Marion ;
Roque-Castellano, Cristina ;
Hernandez-Romero, Juan Maria .
WORLD JOURNAL OF SURGERY, 2006, 30 (08) :1579-1585
[8]  
Moreno CA, 2009, REV ESP ENFERM DIG, V101, P661
[9]   A study on 107 patients with acute mesenteric ischemia over 30 years [J].
Alhan, Etem ;
Usta, Arif ;
Cekic, Arif ;
Saglam, Kutay ;
Turkyilmaz, Serdar ;
Cinel, Akif .
INTERNATIONAL JOURNAL OF SURGERY, 2012, 10 (09) :510-513
[10]   Risk Factors Effecting Mortality in Acute Mesenteric Ischemia and Mortality Rates: A Single Center Experience [J].
Aliosmanoglu, Ibrahim ;
Gul, Mesut ;
Kapan, Murat ;
Arikanoglu, Zulfu ;
Taskesen, Fatih ;
Basol, Omer ;
Aldemir, Mustafa .
INTERNATIONAL SURGERY, 2013, 98 (01) :76-81