Review Article: Mesenteric Ischemia

被引：48
作者：
Gnanapandithan K. [1 ]
Feuerstadt P. [2 ,3 ]
机构：
[1] Department of Internal Medicine, Yale University School of Medicine, New Haven, CT
[2] Division of Digestive Diseases, Yale University School of Medicine, New Haven, CT
[3] Gastroenterology Center of Connecticut, Yale University School of Medicine, Hamden, CT
来源：
Current Gastroenterology Reports | 2020年 / 22卷 / 4期
关键词：
Acute mesenteric ischemic; Chronic mesenteric ischemia; Non-occlusive mesenteric ischemia; Superior mesenteric artery embolism; Superior mesenteric artery thrombosis;
D O I：
10.1007/s11894-020-0754-x
中图分类号：
学科分类号：
摘要：
Purpose of Review: Mesenteric ischemia (MI), both acute (AMI) and chronic (CMI), is a challenging diagnosis to make, and early diagnosis and treatment are vital to improve outcomes. This manuscript summarizes the most up to date information on diagnosis and treatment of these disorders. Recent Findings: There have been several significant advancements in the computed tomography (CT) diagnostic imaging as well as medical and endovascular management of AMI and CMI. In appropriate populations, endovascular interventions appear superior to open surgical management with lower mortality, morbidity, and cost of care. Summary: Efficient clinical identification and targeted testing are essential to diagnose AMI and CMI. Aggressive resuscitation and early endovascular (or in select cases, surgical) intervention improve outcomes in those with AMI. In those with CMI, considering this on the differential diagnosis and imaging appropriately can identify those that might benefit from intervention and halt progression to acute episodes. © 2020, Springer Science+Business Media, LLC, part of Springer Nature.
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  • [1] Rosenblum J.D., Boyle C.M., Schwartz L.B., The mesenteric circulation. Anatomy and physiology, Surg Clin North Am, 77, 2, pp. 289-306, (1997)
  • [2] van Petersen A.S., Kolkman J.J., Meerwaldt R., Huisman A.B., van der Palen J., Zeebregts C.J., Et al., Mesenteric stenosis, collaterals, and compensatory blood flow, J Vasc Surg, 60, 1, pp. 111-119, (2014)
  • [3] Chiu C.J., McArdle A.H., Brown R., Scott H.J., Gurd F.N., Intestinal mucosal lesion in low-flow states. I. A morphological, hemodynamic, and metabolic reappraisal, Arch Surg, 101, 4, pp. 478-483, (1970)
  • [4] Acosta S., Mesenteric ischemia, Curr Opin Crit Care, 21, 2, pp. 171-178, (2015)
  • [5] Clair D.G., Beach J.M., Mesenteric Ischemia, N Engl J Med, 374, 10, pp. 959-968, (2016)
  • [6] Bhagirath Desai A., Sandeep Shah D., Jagat Bhatt C., Umesh Vaishnav K., Salvi B., Measurement of the distance and angle between the aorta and superior mesenteric artery on CT scan: values in Indian population in different BMI categories, Indian J Surg, 77, pp. 614-617, (2015)
  • [7] Ozkurt H., Cenker M.M., Bas N., Erturk S.M., Basak M., Measurement of the distance and angle between the aorta and superior mesenteric artery: normal values in different BMI categories, Surg Radiol Anat, 29, 7, pp. 595-599, (2007)
  • [8] Karkkainen J.M., Acosta S., Acute mesenteric ischemia (part I) - incidence, etiologies, and how to improve early diagnosis, Best Pract Res Clin Gastroenterol, 31, 1, pp. 15-25, (2017)
  • [9] Oldenburg W.A., Lau L.L., Rodenberg T.J., Edmonds H.J., Burger C.D., Acute mesenteric ischemia: a clinical review, Arch Intern Med, 164, 10, pp. 1054-1062, (2004)
  • [10] Cohn D.M., Roshani S., Middeldorp S., Thrombophilia and venous thromboembolism: implications for testing, Semin Thromb Hemost, 33, 6, pp. 573-581, (2007)
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