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World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2022

Open Access 01-12-2022 | Visceral Ischemia | Review

Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery

Authors: Miklosh Bala, Fausto Catena, Jeffry Kashuk, Belinda De Simone, Carlos Augusto Gomes, Dieter Weber, Massimo Sartelli, Federico Coccolini, Yoram Kluger, Fikri M. Abu-Zidan, Edoardo Picetti, Luca Ansaloni, Goran Augustin, Walter L. Biffl, Marco Ceresoli, Osvaldo Chiara, Massimo Chiarugi, Raul Coimbra, Yunfeng Cui, Dimitris Damaskos, Salomone Di Saverio, Joseph M. Galante, Vladimir Khokha, Andrew W. Kirkpatrick, Kenji Inaba, Ari Leppäniemi, Andrey Litvin, Andrew B. Peitzman, Vishal G. Shelat, Michael Sugrue, Matti Tolonen, Sandro Rizoli, Ibrahima Sall, Solomon G. Beka, Isidoro Di Carlo, Richard Ten Broek, Chirika Mircea, Giovanni Tebala, Michele Pisano, Harry van Goor, Ronald V. Maier, Hans Jeekel, Ian Civil, Andreas Hecker, Edward Tan, Kjetil Soreide, Matthew J. Lee, Imtiaz Wani, Luigi Bonavina, Mark A. Malangoni, Kaoru Koike, George C. Velmahos, Gustavo P. Fraga, Andreas Fette, Nicola de’Angelis, Zsolt J. Balogh, Thomas M. Scalea, Gabriele Sganga, Michael D. Kelly, Jim Khan, Philip F. Stahel, Ernest E. Moore

Published in: World Journal of Emergency Surgery | Issue 1/2022

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Abstract

Acute mesenteric ischemia (AMI) is a group of diseases characterized by an interruption of the blood supply to varying portions of the intestine, leading to ischemia and secondary inflammatory changes. If untreated, this process may progress to life-threatening intestinal necrosis. The incidence is low, estimated at 0.09–0.2% of all acute surgical admissions, but increases with age. Although the entity is an uncommon cause of abdominal pain, diligence is required because if untreated, mortality remains in the range of 50%. Early diagnosis and timely surgical intervention are the cornerstones of modern treatment to reduce the high mortality associated with this entity. The advent of endovascular approaches in parallel with modern imaging techniques is evolving and provides new treatment options. Lastly, a focused multidisciplinary approach based on early diagnosis and individualized treatment is essential. Thus, we believe that updated guidelines from World Society of Emergency Surgery are warranted, in order to provide the most recent and practical recommendations for diagnosis and treatment of AMI.
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Metadata
Title
Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery
Authors
Miklosh Bala
Fausto Catena
Jeffry Kashuk
Belinda De Simone
Carlos Augusto Gomes
Dieter Weber
Massimo Sartelli
Federico Coccolini
Yoram Kluger
Fikri M. Abu-Zidan
Edoardo Picetti
Luca Ansaloni
Goran Augustin
Walter L. Biffl
Marco Ceresoli
Osvaldo Chiara
Massimo Chiarugi
Raul Coimbra
Yunfeng Cui
Dimitris Damaskos
Salomone Di Saverio
Joseph M. Galante
Vladimir Khokha
Andrew W. Kirkpatrick
Kenji Inaba
Ari Leppäniemi
Andrey Litvin
Andrew B. Peitzman
Vishal G. Shelat
Michael Sugrue
Matti Tolonen
Sandro Rizoli
Ibrahima Sall
Solomon G. Beka
Isidoro Di Carlo
Richard Ten Broek
Chirika Mircea
Giovanni Tebala
Michele Pisano
Harry van Goor
Ronald V. Maier
Hans Jeekel
Ian Civil
Andreas Hecker
Edward Tan
Kjetil Soreide
Matthew J. Lee
Imtiaz Wani
Luigi Bonavina
Mark A. Malangoni
Kaoru Koike
George C. Velmahos
Gustavo P. Fraga
Andreas Fette
Nicola de’Angelis
Zsolt J. Balogh
Thomas M. Scalea
Gabriele Sganga
Michael D. Kelly
Jim Khan
Philip F. Stahel
Ernest E. Moore
Publication date
01-12-2022
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2022
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/s13017-022-00443-x

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