• Curr Opin Crit Care · Dec 2022

    Review

    Acute mesenteric ischaemia.

    • Reintam BlaserAnnikaAInstitute of Clinical Medicine, University of Tartu, Tartu, Estonia.Department of Intensive Care Medicine, Lucerne Cantonal Hospital, Lucerne, Switzerland., Alastair Forbes, and Martin Björck.
    • Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.
    • Curr Opin Crit Care. 2022 Dec 1; 28 (6): 702708702-708.

    Purpose Of ReviewTo summarize the recent evidence on acute mesenteric ischaemia (AMI).Recent FindingsThe overall incidence of AMI is below 10/100 000 person years but increases exponentially with age. The overall mortality of AMI remains high, exceeding 50%, despite continuing progress and increasing availability of imaging and endovascular interventions. However, patients with (early) revascularization have significantly better outcomes. The majority of patients surviving the acute event are still alive at 1 year, but evidence on quality of life is scarce.Clinical suspicion of AMI is the key to timely diagnosis, with biphasic computed tomography-angiography the diagnostic method of choice. Currently, no biomarker has sufficient specificity to diagnose AMI.SummaryImproved awareness and knowledge of AMI are needed to raise the suspicion of AMI in relevant patients and thereby to achieve better outcomes.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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