Acute mesenteric ischemia

Surgical Management of Acute Mesenteric Ischemia; Review Article

“…For arterial thrombosis, endovascular stenting is an option, and anticoagulation is an option for venous thrombosis. Endovascular aspiration, mechanical embolectomy, and local thrombolysis are all possibilities for patients with arterial embolism [2].…”

“…The others are caused by arterial thrombosis (which is usually caused by atherosclerosis), venous thrombosis (which is usually caused by clotting disorders), and nonocclusive ischemia. Splanchnic vasoconstriction, which can be produced by hypovolemia, hypotension, decreased cardiac output, and exogenous vasopressors, causes nonocclusive ischemia [2].…”

“…With a sensitivity and specificity of nearly 95%, computed tomography angiography is usually the most appropriate diagnostic technique in stable patients with a high level of clinical suspicion. The diagnosis is usually made by diagnostic laparoscopy or laparotomy in patients with peritoneal findings [2][3][4][5][6]. This review aims of highlight recent updated in epidemiology, pathogenesis, diagnosis and surgical management of acute mesenteric ischemia.…”

The Global Burden of Vascular Intestinal Disorders in 204 Countries and Territories From 1990 to 2019: Global Burden of Diseases Study

“…Mesenteric ischemia, a condition characterized by inadequate blood supply to the intestines, arises from various causes. About half of cases are due to arterial embolism originating from the heart, while the rest are attributed to arterial thrombosis (associated with atherosclerosis), venous thrombosis (linked to coagulation disorders), and non-occlusive ischemia (caused by factors like hypovolemia, hypotension, and reduced cardiac output) [ 1 , 11 ]. Furthermore, ischemic colitis has been linked to specific drugs, such as cocaine [ 12 ] and tegaserod [ 13 ], as well as colonoscopy procedures [ 14 ].…”