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Mesenteric Ischemia: Acute and Chronic

2003; Elsevier BV; Volume: 17; Issue: 3 Linguagem: Inglês

10.1007/s10016-001-0249-7

1615-5947

John B. Chang, Theodore A. Stein,

Vascular anomalies and interventions

Acute mesenteric ischemia is a circulation-insufficiency event, occurring either suddenly or rapidly over a few weeks, that deprives one or several abdominal organs of adequate respiration to meet metabolic demands. Although mesenteric ischemia occurs infrequently, the mortality rate is from 60 to 100%, depending on the source of obstruction. 1 Bradbury AW Brittended J McBride K et al. Mesenteric ischemia: a multidisciplinary approach. Br J Surg. 1995; 82: 1446-1459 Crossref PubMed Scopus (203) Google Scholar , 2 Mansour MA Management of acute mesenteric ischemia. Arch Surg. 1999; 134: 328-330 Crossref PubMed Scopus (73) Google Scholar The risk of atherosclerotic-related mesenteric occlusive disease increases with aging and those who have severe cardiovascular disease are at the highest risk. From 20 to 30% of hospital admissions for acute mesenteric ischemia are from nonocclusive mesenteric ischemia. 3 Bassiouny HS Nonocclusive mesenteric ischemia. Surg Clin North Am. 1997; 77: 319-326 Abstract Full Text Full Text PDF PubMed Scopus (134) Google Scholar Nearly 5 to 15% of all acute mesenteric ischemic cases are from a venous thrombosis. 4 Rhee RY Gloviczki P Mesenteric venous thrombosis. Surg Clin North Am. 1997; 77: 327-338 Abstract Full Text Full Text PDF PubMed Scopus (169) Google Scholar