• Critical care clinics · Apr 2016

    Review

    Mesenteric Ischemia.

    • Thomas W Carver, Ravi S Vora, and Amit Taneja.
    • Division of Trauma and Critical Care, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA. Electronic address: tcarver@mcw.edu.
    • Crit Care Clin. 2016 Apr 1; 32 (2): 155-71.

    AbstractAcute mesenteric ischemia (AMI) is a rare disease that most commonly affects the elderly. The vague symptoms often lead to delayed diagnosis and consequent high mortality. Physical exam and laboratory findings lack the sensitivity and specificity to exclude AMI, but computed tomography angiography can rapidly and accurately confirm the diagnosis. Survival improves with prompt restoration of perfusion and resection of nonviable bowel. Advances in imaging, operative techniques, and critical care have led to a steady decline in overall mortality; however, long-term survival is limited because of the comorbidities in this patient group.Copyright © 2016 Elsevier Inc. All rights reserved.

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