Mesenteric Ischemia

IF 1.2 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Clinics in Colon and Rectal Surgery Pub Date : 2023-12-15 DOI:10.1055/s-0043-1777667
Christopher O. Audu, David W. Schechtman, Frank M. Davis
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Abstract

Mesenteric ischemia occurs when perfusion of the visceral organs fails to meet normal metabolic requirements and subsequently results in abdominal symptoms such as diffuse postprandial pain, peritonitis, food fear, and weight loss. While generally divided into acute and chronic manifestations, mesenteric ischemia is commonly misdiagnosed at initial presentation due to the significant overlap with symptoms of other abdominal pathologies. Prompt recognition and diagnosis, mesenteric revascularization, and critical care management remain the mainstay of treatment in these patients for optimal outcomes. This review will highlight acute versus chronic mesenteric ischemia, their etiology, diagnostic criteria, treatment options, and will emphasize the joint role of the gastrointestinal and vascular surgeon in the timely management of this condition to prevent devastating outcomes.

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肠系膜缺血
肠系膜缺血是指内脏器官的血流灌注不能满足正常代谢的需要,进而导致弥漫性餐后疼痛、腹膜炎、食物恐惧和体重减轻等腹部症状。肠系膜缺血一般分为急性和慢性两种表现,但由于与其他腹部病变的症状明显重叠,因此在最初发病时常被误诊。为了获得最佳治疗效果,及时识别和诊断、肠系膜血管重建和重症监护管理仍然是治疗这些患者的主要方法。本综述将重点介绍急性肠系膜缺血与慢性肠系膜缺血、病因、诊断标准和治疗方案,并将强调胃肠道外科医生和血管外科医生在及时处理这种疾病中的共同作用,以防止破坏性后果的发生。
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来源期刊
Clinics in Colon and Rectal Surgery
Clinics in Colon and Rectal Surgery GASTROENTEROLOGY & HEPATOLOGYSURGERY-SURGERY
CiteScore
2.60
自引率
7.10%
发文量
84
期刊介绍: Clinics in Colon and Rectal Surgery is a review journal that publishes topic-specific issues on diseases of the small bowel, colon, rectum, and anus. Designed for clinicians, researchers, and educators involved with diseases of the intestinal tract, the journal covers a broad spectrum of basic information, controversial clinical issues, and established and innovative diagnostic techniques. Issue topics comprehensively cover the entire specialty over a 3-4 year period, allowing the articles to serve as study material for educational programs and certifying examinations. The inclusion of research and clinical material also allows physicians to remain knowledgeable of current advances in the specialty.
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