Acute mesenterial ischaemia: a contemporary view
During the COVID-19 pandemic, the incidence of acute mesenteric ischemia (AMI) increased to 10.9 per 100 000 population. Here we discuss causes, symptoms, current diagnosis and treatment of AMI.Frequently, such patients suffer from stenosis or occlusion of superior mesenteric artery accompanied by c...
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| Format: | Article |
| Language: | Russian |
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Kemerovo State Medical University
2023-04-01
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| Series: | Фундаментальная и клиническая медицина |
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| Online Access: | https://fcm.kemsmu.ru/jour/article/view/681 |
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| author | V. I. Podoluzhnyi A. B. Startsev I. A. Radionov |
| author_facet | V. I. Podoluzhnyi A. B. Startsev I. A. Radionov |
| author_sort | V. I. Podoluzhnyi |
| collection | DOAJ |
| description | During the COVID-19 pandemic, the incidence of acute mesenteric ischemia (AMI) increased to 10.9 per 100 000 population. Here we discuss causes, symptoms, current diagnosis and treatment of AMI.Frequently, such patients suffer from stenosis or occlusion of superior mesenteric artery accompanied by coronary artery disease, chronic heart failure, or chronic brain ischaemia. The main clinical symptom is constant abdominal pain which is sharp in case of mesenteric artery thrombosis or dull if thrombosis is restricted to the branch of superior or inferior mesenteric veins. Conventionally, the diagnosis of AMI is verified by multislice computed tomography angiography and contrast-enhanced multislice computed tomography. Timely diagnosis with emergency surgery reduces mortality from 90% to 30-50%. The best treatment outcomes are observed after early revascularizations and minimally invasive endovascular interventions. |
| format | Article |
| id | doaj-art-e7c17daff4064e16a098f5f20286fd95 |
| institution | DOAJ |
| issn | 2500-0764 2542-0941 |
| language | Russian |
| publishDate | 2023-04-01 |
| publisher | Kemerovo State Medical University |
| record_format | Article |
| series | Фундаментальная и клиническая медицина |
| spelling | doaj-art-e7c17daff4064e16a098f5f20286fd952025-08-20T03:19:11ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412023-04-018110110810.23946/2500-0764-2023-8-1-101-108358Acute mesenterial ischaemia: a contemporary viewV. I. Podoluzhnyi0A. B. Startsev1I. A. Radionov2Kemerovo State Medical UniversityPodgorbunsky Regional Clinical Emergency HospitalKemerovo State Medical UniversityDuring the COVID-19 pandemic, the incidence of acute mesenteric ischemia (AMI) increased to 10.9 per 100 000 population. Here we discuss causes, symptoms, current diagnosis and treatment of AMI.Frequently, such patients suffer from stenosis or occlusion of superior mesenteric artery accompanied by coronary artery disease, chronic heart failure, or chronic brain ischaemia. The main clinical symptom is constant abdominal pain which is sharp in case of mesenteric artery thrombosis or dull if thrombosis is restricted to the branch of superior or inferior mesenteric veins. Conventionally, the diagnosis of AMI is verified by multislice computed tomography angiography and contrast-enhanced multislice computed tomography. Timely diagnosis with emergency surgery reduces mortality from 90% to 30-50%. The best treatment outcomes are observed after early revascularizations and minimally invasive endovascular interventions.https://fcm.kemsmu.ru/jour/article/view/681acute mesenteric ischemiacomputed tomographic angiographyendovascular interventionsmorbidity |
| spellingShingle | V. I. Podoluzhnyi A. B. Startsev I. A. Radionov Acute mesenterial ischaemia: a contemporary view Фундаментальная и клиническая медицина acute mesenteric ischemia computed tomographic angiography endovascular interventions morbidity |
| title | Acute mesenterial ischaemia: a contemporary view |
| title_full | Acute mesenterial ischaemia: a contemporary view |
| title_fullStr | Acute mesenterial ischaemia: a contemporary view |
| title_full_unstemmed | Acute mesenterial ischaemia: a contemporary view |
| title_short | Acute mesenterial ischaemia: a contemporary view |
| title_sort | acute mesenterial ischaemia a contemporary view |
| topic | acute mesenteric ischemia computed tomographic angiography endovascular interventions morbidity |
| url | https://fcm.kemsmu.ru/jour/article/view/681 |
| work_keys_str_mv | AT vipodoluzhnyi acutemesenterialischaemiaacontemporaryview AT abstartsev acutemesenterialischaemiaacontemporaryview AT iaradionov acutemesenterialischaemiaacontemporaryview |