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Clin Colon Rectal Surg 2022; 35(03): 227-236
DOI: 10.1055/s-0042-1743283
Review Article

Acute Mesenteric Ischemia

Rebecca J. Lendzion
1   Colorectal Fellow, St Vincent's Health, Melbourne, Australia
,
Gert Frahm-Jensen
2   Department of Vascular Surgery, The Canberra Hospital, Australia
,
James Keck
3   Colorectal Department, St. Vincent's Health, Melbourne, Australia
4   Department of Colorectal Surgery, Eastern Health, Melbourne, Australia
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Abstract

The surgical treatment of occlusive acute mesenteric ischemia (AMI) without revascularization is associated with an 80% overall mortality. Early diagnosis is crucial, and revascularization may reduce overall mortality in AMI by up to 50%. A diagnosis of AMI requires a high index of clinical suspicion and the collaborative effort of emergency department physicians, general and vascular surgeons, and radiologists. This article provides an overview of the etiology, physiology, evaluation, and management of acute mesenteric ischemia.

Keywords

acute mesenteric ischemia - nonocclusive mesenteric ischemia - mesenteric venous thrombosis - endovascular procedures - endovascular therapy - angioplasty - embolectomy - mechanical thrombolysis - surgical treatment


Publication History

Article published online:
12 August 2022

© 2022. Thieme. All rights reserved.

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