Intestinal ischemia: current treatment concepts

Renner, Philipp; Kienle, Klaus; Dahlke, Marc H.; Heiss, Peter; Pfister, Karin; Stroszczynski, Christian; Piso, Pompiliu; Schlitt, Hans J.

doi:10.1007/s00423-010-0726-y

Cited by 67 publications

(58 citation statements)

References 52 publications

(66 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[45][46][47][48][49] The clinical picture in the early stages is unspecific and similar to other abdominal syndromes (peritonitis, occlusion). Pain can be acute, sudden (arterial embolism or thrombosis) or slowly progressing (ischemia by non occlusal causes or venous mesenteric thrombosis), associated with nausea, vomiting and change in bowel habits.…”

Section: Vascular Abdominal Syndromementioning

confidence: 99%

Abdominal pain: a synthesis of recommendations for its correct management

Tirotta

Marchetti²,

Lillo

et al. 2015

Ital J Med

View full text Add to dashboard Cite

Abdominal pain represents one of the most important diagnostic challenges for any physician and its correct interpretation and management require a proper systematic approach and sometimes an urgent action. Moreover the guidelines that can be referred to for indications about the most adequate management procedures are few and often focused only on radiologic management. Consequently, the approach to abdominal pain is often empirical. Therefore, we propose a review of the literature on the diagnosis of abdominal pain, which may contribute to improve the diagnosis and treatment of this complex condition through a systematic review of the evidences available in this field. As to our methodology, we conducted an extensive search in the main guideline databases (SIGN, ICSI, NICE, National Guideline Cleringhouse, CMA Infobase, NZ Guidelines Group, National System Guidelines, Clinical Practice Guidelines Portal, eGuidelines), using as key words abdominal pain and abdominalgia. The guidelines were assessed according to the 2010 Italian version of the AGREE (Appraisal of Guidelines, Research and Evaluation II) methodology. Afterwards we formulated our main recommendations associated with the corresponding levels of evidence and focused our attention on some grey areas, which we investigated with further research using Medline and the main systematic review databases (Cochrane database). The four main grey areas investigated were: hospital admission criteria, prognostic stratification, need for analgesic treatment and possibility of attributing abdominalgia to an abdominal pain syndrome. We then formulated our consesus-based recommendations on the grey areas. Abdominal pain management remains a complex issue for internists. As with other diagnostic challenges, it would be advisable to develop additional guidelines based on a multidisciplinary approach and not only focused on radiological management.

show abstract

Section: Vascular Abdominal Syndromementioning

confidence: 99%

Abdominal pain: a synthesis of recommendations for its correct management

Tirotta

Marchetti²,

Lillo

et al. 2015

Ital J Med

View full text Add to dashboard Cite

show abstract

“…In this case, there are abdominal findings that are not in proportion with physical examination and they do not adequately aid in the early diagnosis of AMI (5,6). There are several diagnostic methods; however, the essential factors that reduce mortality are early diagnosis and appropriate treatment (7). Even though computerized tomography (CT) has a high sensitivity for diagnosis, some technical problems limit the use of CT-angiography such as renal failure and serious allergic reaction (8).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of gastric tonometry in the diagnosis of acute mesenteric ischemia in cases where a contrast-enhanced computed tomography cannot be obtained

Öz

Akyüz

Emek

et al. 2015

UCD

View full text Add to dashboard Cite

Objective: The aim of the study was to evaluate the effectiveness of gastric tonometry in the diagnosis of acute mesenteric ischemia in cases where a contrast-enhanced computed tomography cannot be obtained. Material and Methods:The gastric pH (pHi) and gastric CO 2 (gpCO 2 ) were measured with gastric tonometry catheter, preoperatively and postoperatively at 24 hours, in patients with suspicion of acute mesenteric ischemia. Simultaneous evaluation of blood gases and blood lactate levels were performed. Patients were divided into two groups after surgery. Group 1 included patients with mesenteric ischemia, and Group 2 consisted of patients without mesenteric ischemia.Results: Forty-two patients (26 males, 16 females) were evaluated. The mean age was 61.4±13.3 years. There was no significant difference between the groups in terms of demographic factors and co-morbid diseases. There were no significant differences between groups in terms of pHi and gpCO 2 levels (7.24±0.2 and -3±12.0 in Group 1, 7.18±0.06 and -3±1.9 in Group 2, respectively), intra-abdominal pressure, lactate levels, and survival. Among all the study parameters, only arterial pH had statistical significance in the diagnosis of acute mesenteric ischemia (7.23±0.21 versus 7.35±0.07 for Groups 1 and 2, respectively,) (p<0.05). Conclusion:Gastric tonometry is not a useful method in the early diagnosis of acute mesenteric ischemia.

show abstract

“…Hypoxia is a common pathological phenomenon, accompanying with many diseases, such as neurologic complications, 1 ischemic heart disease, 2 acute renal failure, 3 intestinal ischemia, 4 pulmonary disease, 5 carbon monoxide poisoning, 6 traumatic brain injury, 7 perinatal asphyxia, 8 sudden cardiac death, 9 etc. Severe hypoxia often leads to death.…”

Section: Introductionmentioning

confidence: 99%

Early identification of acute hypoxia based on brain NADH fluorescence and cerebral blood flow

Shi

Sun

Mayevsky

et al. 2014

J. Innov. Opt. Health Sci.

View full text Add to dashboard Cite

Hypoxia is closely related to many diseases and often leads to death. Early detection and identi¯cation of the hypoxia causes may help to promptly determine the right rescue plan and reduce the mortality. We proposed a new multiparametric monitoring method employing mitochondrial reduced nicotinamide adenine dinucleotide (NADH)°uorescence, regional re°ec-tance, regional cerebral blood°ow (CBF), electrocardiography (ECG), and respiration under six kinds of acute hypoxia in four categories to investigate a correlation between the parameter variances and the hypoxia causes. The variation patterns of the parameters were discussed, and the combination of NADH and CBF may contribute to the identi¯cation of the causes of hypoxia.

show abstract

Intestinal ischemia: current treatment concepts

Cited by 67 publications

References 52 publications

Abdominal pain: a synthesis of recommendations for its correct management

Abdominal pain: a synthesis of recommendations for its correct management

The effectiveness of gastric tonometry in the diagnosis of acute mesenteric ischemia in cases where a contrast-enhanced computed tomography cannot be obtained

Early identification of acute hypoxia based on brain NADH fluorescence and cerebral blood flow

Contact Info

Product

Resources

About