Mesenteric ischemia

Emerg Med Clin North Am. 2004 Nov;22(4):909-28. doi: 10.1016/j.emc.2004.05.002.

Abstract

MI remains a highly lethal entity. Improving survival requires an aggressive, multidisciplinary approach. High-risk patients with severe abdominal pain and a paucity of physical findings should be undergo emergent imaging in a search for this disease. Improvements in laboratory tests and advances in imaging techniques may improve the ability to diagnose MI earlier in its course, before irreversible damage has occurred. Many treatment modalities are available and should be tailored to each individual case. By recognizing and preventing ischemia-reperfusion injury,the cycle of protracted complications may be broken. A decrease in the mortality from MI finally is occurring. Early recognition and aggressive treatment finally may allow clinicians to have a marked impact on patient survival.

Publication types

  • Review

MeSH terms

  • Abdominal Pain / etiology
  • Acute Disease
  • Angiography
  • Anti-Bacterial Agents / therapeutic use
  • Anticoagulants / therapeutic use
  • Chronic Disease
  • Diagnosis, Differential
  • Diagnostic Errors
  • Electrocardiography
  • Embolectomy
  • Emergency Medicine / methods*
  • Emergency Treatment / methods*
  • Humans
  • Ischemia / diagnosis*
  • Ischemia / epidemiology
  • Ischemia / etiology
  • Ischemia / therapy*
  • Magnetic Resonance Imaging
  • Medical History Taking
  • Mesenteric Vascular Occlusion / diagnosis*
  • Mesenteric Vascular Occlusion / epidemiology
  • Mesenteric Vascular Occlusion / etiology
  • Mesenteric Vascular Occlusion / therapy*
  • Morbidity
  • Physical Examination
  • Reperfusion Injury / etiology
  • Reperfusion Injury / prevention & control
  • Risk Factors
  • Thrombectomy
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents
  • Anticoagulants