Acute Mesenteric Ischemia: Updated Guidelines of the World Society of Emergency Surgery

Bala, Miklosh; Catena, Fausto; Picetti, Edoardo; Ansaloni, Luca; Augustin, Goran; Biffl, Walter L.; Ceresoli, Marco; Chiara, Osvaldo; Chiarugi, Massimo; Coimbra, Raul; Cui, Yunfeng; Damaskos, Dimitris; Kashuk, Jeffry; Di Saverio, Salomone; Galante, Joseph M.; Khokha, Vladimir; Kirkpatrick, Andrew W.; Inaba, K; Leppaniemi, A; Litvin, A; Peitzman, AB; Shelat, VG; Sugrue, M; De Simone, Belinda; Tolonen, M; Rizoli, S; Sall, I; Beka, SG; Di Carlo, I; Ten Broek, R; Mircea, C; Tebala, G; Pisano, M; van Goor, H; Gomes, Carlos Augusto; Maier, R; Jeekel, H; Civil, I; Hecker, A; Tan, E; Soreide, K; Lee, MJ; Wani, I; Bonavina, L; Malangoni, MA; Weber, Dieter; Koike, K; Velmahos, GC; Fraga, GP; Fette, A; de'Angelis, N; Balogh, Zsolt; Scalea, TM; Sganga, G; Kelly, MD; Khan, J; Sartelli, Massimo; Stahel, PF; Moore, EE; Coccolini, Federico; Kluger, Yoram; Abu-Zidan, Fikri M.

Acute Mesenteric Ischemia: Updated Guidelines of the World Society of Emergency Surgery

journal contribution

posted on 2025-05-10, 19:57 authored by Miklosh Bala, Fausto Catena, Edoardo Picetti, Luca Ansaloni, Goran Augustin, Walter L. Biffl, Marco Ceresoli, Osvaldo Chiara, Massimo Chiarugi, Raul Coimbra, Yunfeng Cui, Dimitris Damaskos, Jeffry Kashuk, Salomone Di Saverio, Joseph M. Galante, Vladimir Khokha, Andrew W. Kirkpatrick, K Inaba, A Leppaniemi, A Litvin, AB Peitzman, VG Shelat, M Sugrue, Belinda De Simone, M Tolonen, S Rizoli, I Sall, SG Beka, I Di Carlo, R Ten Broek, C Mircea, G Tebala, M Pisano, H van Goor, Carlos Augusto Gomes, R Maier, H Jeekel, I Civil, A Hecker, E Tan, K Soreide, MJ Lee, I Wani, L Bonavina, MA Malangoni, Dieter WeberDieter Weber, K Koike, GC Velmahos, GP Fraga, A Fette, N de'Angelis, Zsolt BaloghZsolt Balogh, TM Scalea, G Sganga, MD Kelly, J Khan, Massimo Sartelli, PF Stahel, EE Moore, Federico Coccolini, Yoram Kluger, Fikri M. Abu-Zidan

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.

History

Journal title

World Journal of Emergency Surgery

Volume

17

Issue

1

Article number

54

Publisher

BioMed Central (BMC)

Language

en, English

College/Research Centre

College of Health, Medicine and Wellbeing

School

School of Medicine and Public Health

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