Mesenteric ischemia
Isquemia mesentérica
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Gómez, M., & Pabón, M. G. (2011). Mesenteric ischemia. Journal of Medicine and Surgery Repertoire, 20(2), 83–92. https://doi.org/10.31260/RepertMedCir.v20.n2.2011.681
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Abstract
Mesenteric ischemia is a significant challenge for clinicians because of its high incidence and serious consequences. The pathophysiologic consequences which rapidly involve the entire organ system make its early diagnosis not only a challenge but the key to successful management. This review intends to thoroughly describe the splanchnic circulation and reviews mayor diagnostic and management strategies.
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References
1. GastrointestinalDisease andDysfunction In: Gabrielli A, Layon AJ, Yu M, editors. Civetta, Taylor and Kirby's: Critica! care. 4th ed. Philadelphia : 2009 Lippincott Williams and Wilk:ins; 2008. p. 2368-78.
2. Mamode N, Pickford I, Leiberman P. Failure to improve outcome in acule mesentericischaemia: seven-year review. Eur J Surg. I999; 165(3): 203-8.
3. Brand! LJ, Boley SJ. AGA technical review on intestinal ischemia. Gastroenterology 2000;118(5): 954-68.
4. HerbertGS, Steele SR. Acute and chronic mesenteric ischemia. Surg Clin North Am. 2007; 87(5):1115-34.
5. Ozden N, Gurses B. Mesenteric ischemia in the elderly. Clin Geriatr Med. 2007; 23(4): 871-87.
6. Bartone G, Severino BU, Armellino MT, et al. Clinical symptoms of intes tinal vascular disorders. Radio] Clin North Am. 2008; 46: 887-9.
7. Lobo Martinez E, Carvajosa E, Sacco O, et al. Embolectomy in mesenteric ischemia. Rev Esp EnfermDig. 1993; 83:351-4.
8. Lyon C, ClarkDC.Diagnosis of acule abdominal pain in older patients. Am Fam Physician. 2006; 74:1537-44.
9. Acosta S, Ogren M, Sternby NH, et al. Clinical implications for the management of acute thromboemolic occlusion of thesuperior mesenteric artery. Ann Surg. 2005; 241(3):516-22.
10. Burns BJ, Brandt LJ. Intestinal ischernia. Gastroenterol Clin North Am. 2003; 32(4):1127-43.
11. Acosta S, Ogren M, Stemby NH, et al. Fatal nonocclusive mesenteric ischaemia: population-based incidence and risk factors. J Intern Med. 2006; 259: 305-13.
12. Clark ET, GewerzBL. Intermittent ischemia potentiates intestinal reperfusion injury. J. Vasc. Surg. 1991; 13: 606-61.
13. Martinez JP, Hogan GJ. Mesenteric ischemia. Emerg Med Clin North Am. 2004;22 (4):909-28.
14. Pique JM. Management of gut ischemia. Indian J Gastroenterol. 2006; 25(Suppl): S39-42.
15. Berland T, Oldenburg WA. Acute mesenteric ischemia. Curr Gastroenterol Rep. 2008; 10: 341-6.
16. Painés J, Soriano A. Isquemia mesentérica aguda. Fisiopatología y diagnos tico. GH continuada. 2002; 1(3): 103-109.
17. Romano S, Niola R, Maglione F, et al. Small bowelvasculardisordersfrom arterial etiology and impaired venous drainage. Radio! Clin North Am. 2008;46:891 908.
18. Horton KM, Fishman EK. Multidetector CT angiography in the diagnosis of mesenteric ischemia. Radio! Clin North Am. 2007;45: 275-88.
19. Kolkman JJ, Bargeman M, Huisman AB, Geelkerken RH. Diagnosis and management of splanchnic ischemia. World J Gastroenterol. 2008 Dec 28;14(48):7309-20.
20. De Backer D, Creteur J, Silva E, Vincent JL. Effects of dopamine, norepinephrine, and epinephrine on the splanchnic circulation in septic shock: Which is best?. Crit Care Med. 2003 Jun; 31(6):1659-67.
21. Oldenburg WA, Lau LL, Rodenberg TJ, et al. Acule mesentericischemia: a clinical review.Arch lntem Med. 2004; 164:1054---62.
22. Kozuch PL,Brandt LJ.Reviewarticle: diagnosis and management of mesemeric ischaemia with an emphasis on pharmacotherapy.Aliment Pharmacol Ther 2005; 21(3): 201-15.
23. Frishman WH, Novak S, Brandt U, et al.Pharmacologic management of mesenteric occlusive disease. Cardiol Rev. 2008; 16:59-68.
24. Shoots IG, Levi NM, Reekers JA, et al. Thrombolytic therapy for acute superiormesentericartery occlusion.J Vasc Interv Radio!. 2005;16: 317-29.
25. Wain RA, Hines G.Surgical management of mesenteric occlusive disease: a contemporary review of invasive and minirnally invasive techniques. Cardiol Rev.2008;16: 69 75.
26. Kougias P, Lau D, El Sayed H, et al. Detenninants of mortality and treatment outcome following surgical interventions for acute mesenteric ischemia. J Vasc Surg.2007; 46: 467 74.
27. Acosta-Merida MA, Marchena-Gomez J, Hemmersbach-Miller M, et al. ldentification of risk factors for perioperative mortality in acute mesenteric ischemia. World J Surg. 2006; 30(8): 1579-85.
28. Schoots IG, Koffeman GI, Legemate DA, et al.Systematic review of survival after acule mesenteric ischaemia according to disease aetiology. Br J Surg. 2004; 91(1):17 27.
29. Bradbury AW, Brittenden J, McBride K, et al. Mesenteric ischaemia: a multidisciplinary approach. Br J Surg. 1995; 82(11):1446-59.
30. Schoots IG, Levi MM, Reekers JA, et al. Thrombolytic therapy for acute superior mesentericartery occlusion. J Vasc Interv Radio!. 2005; 16(3):317-29.
31. Sreenarashimhaiah J. Chronic mesenteric ischemia. Best Pract Res Clin Gastroenterol.2005;19(2):283-95.
32. Wilson DB, Mostafavi K, Craven TE, et al. Clinical course of mesenteric artery stenosisin elderly Americans. Arch lntem Med. 2006; 166:2095-100.
33. Hansen KJ, Wilson DB, Craven TE, et al. Mesenteric artery disease in the elderly. J Vasc Surg.2004; 40:45 52.
34. Meaney JF, Prince MR, Nostrant TT, et al. Gadolinium - enhanced MR angiography of visceral arteries in patients with suspected chronic mesenteric ischemia. J Magn Reson Imaging. 1997; !:171-6.
35. Wain RA,Hines G. Surgical management of mesenteric occlusive disease: a contemporaryreview of invasive and minirnally invasive techniques. Cardiol Rev. 2008; 16 :69 75.
36. Atkins MD, Kwolek CJ, LaMuraglia GM, et al. Surgical revascularization versus endovascular therapy for chronic mesentericiscbemia:a comparative experience. J Vasc Surg. 2007; 45:1162-7.
37. Sullivan TM, Oderich GS, Malgor RD, Ricotta II JJ. Revascularizacion abierta y endovascular para la isquemiamesentericacronica:revisióntabula da de los estudios publicados. An. cir. vasc. 2009; 23(5): 770-82.
38. Levy AD. Mesenteric ischemia.Radio! Clin NorthAm. 2007; 45:593-9
39. Balthazar EJ, Liebeskind ME, Macari M. Intestinal ischemia in patients in whom small bowel obstruction is suspected: evaluation of accuracy, limitations, and clinical implications of CT in diagnosis. Radiology. 1997; 205(2):519 22.
40. Frager D, Baer JW, Medwid SW, et al. Detection of intestinal ischemia in patients with acute small-bowel obstruction due to adhesions or hernia: efficacy of CT.AJR Am JRoentgenol.1996;166(1): 67-7l.
41. Cademartiri F, Raaijmakers RH, Kuiper JW, et al. Multi- detector row CT angiography in patients witb abdominal angina. Radiographics. 2004; 24(4):969-84.
42. Marchena-Gomez J, Acosta-Merida MA, Hemrnersbach-Miller M, et al. El índice de comorbilidad de Charlson ajustado por edad como variable pronos tica en pacientes con isquemia mesentérica aguda.An. cir.vasc. 2009; 23(4): 505-12.
43. Acosta-Mérida MA et al.Factores predictivos de necrosis masiva intestinal en la isquemia mesentérica. Cir Esp. 2007; 81(3):144-9.
44. Stoney RJ, Cunningham CG. Acute mesenteric ischemia. Surgery. 1993; 114:489-90.
45. Horton KM, Fishman EK.Multidetector CT angiographyin the diagnosis of mesentericischemia. Radio! Clin North Am. 2007 Mar;45(2):275-88.
46. Rootbottom CA, Dubbins PA. Significant disease of the ce!iac and superior mesenteric arteries in asymptomatic patients: predictive value of Doppler sonography.AJRAmJ Roentgenol.1993; 161(5):985-8.
47. Thomas IB, Blake K, Pierce GE, et al.The clínica! course of asymptomatic mesenteric arterial stenosis. J Vasc Surg. 1998; 27(5):840-4.
48. Carvajal Balaguera J, et al. Neumatosis intestinal y gas en el territorio venoso portomesentérico en el paciente anciano: etiología, fisiopatología y significado clínico. Rev Esp Geriatr Gerontol. 2007; 42(6):364-9.
49. Peloponissios N, Halkic N, Pugna!e M, Jomod P, Nordback P, Meyer A. Hepatic portal gas in adults. Review of the literature and presentation of consecutive series of 11cases.Arch Surg. 2003; 138:1367-70.
50. De Brawer J, Masereel B, Visser R, Geyskens P. Pneumatosis intestinalis by ischaemic bowel: report of three cases. Acta Chir Belg.2006; 106:592-5.
51. Schindera S, Triller J, VockP, HoppeH. Detection of hepatic venous gas: its clínica! and outcome.Emerg Radio!.2006; 12: 164-70.
2. Mamode N, Pickford I, Leiberman P. Failure to improve outcome in acule mesentericischaemia: seven-year review. Eur J Surg. I999; 165(3): 203-8.
3. Brand! LJ, Boley SJ. AGA technical review on intestinal ischemia. Gastroenterology 2000;118(5): 954-68.
4. HerbertGS, Steele SR. Acute and chronic mesenteric ischemia. Surg Clin North Am. 2007; 87(5):1115-34.
5. Ozden N, Gurses B. Mesenteric ischemia in the elderly. Clin Geriatr Med. 2007; 23(4): 871-87.
6. Bartone G, Severino BU, Armellino MT, et al. Clinical symptoms of intes tinal vascular disorders. Radio] Clin North Am. 2008; 46: 887-9.
7. Lobo Martinez E, Carvajosa E, Sacco O, et al. Embolectomy in mesenteric ischemia. Rev Esp EnfermDig. 1993; 83:351-4.
8. Lyon C, ClarkDC.Diagnosis of acule abdominal pain in older patients. Am Fam Physician. 2006; 74:1537-44.
9. Acosta S, Ogren M, Sternby NH, et al. Clinical implications for the management of acute thromboemolic occlusion of thesuperior mesenteric artery. Ann Surg. 2005; 241(3):516-22.
10. Burns BJ, Brandt LJ. Intestinal ischernia. Gastroenterol Clin North Am. 2003; 32(4):1127-43.
11. Acosta S, Ogren M, Stemby NH, et al. Fatal nonocclusive mesenteric ischaemia: population-based incidence and risk factors. J Intern Med. 2006; 259: 305-13.
12. Clark ET, GewerzBL. Intermittent ischemia potentiates intestinal reperfusion injury. J. Vasc. Surg. 1991; 13: 606-61.
13. Martinez JP, Hogan GJ. Mesenteric ischemia. Emerg Med Clin North Am. 2004;22 (4):909-28.
14. Pique JM. Management of gut ischemia. Indian J Gastroenterol. 2006; 25(Suppl): S39-42.
15. Berland T, Oldenburg WA. Acute mesenteric ischemia. Curr Gastroenterol Rep. 2008; 10: 341-6.
16. Painés J, Soriano A. Isquemia mesentérica aguda. Fisiopatología y diagnos tico. GH continuada. 2002; 1(3): 103-109.
17. Romano S, Niola R, Maglione F, et al. Small bowelvasculardisordersfrom arterial etiology and impaired venous drainage. Radio! Clin North Am. 2008;46:891 908.
18. Horton KM, Fishman EK. Multidetector CT angiography in the diagnosis of mesenteric ischemia. Radio! Clin North Am. 2007;45: 275-88.
19. Kolkman JJ, Bargeman M, Huisman AB, Geelkerken RH. Diagnosis and management of splanchnic ischemia. World J Gastroenterol. 2008 Dec 28;14(48):7309-20.
20. De Backer D, Creteur J, Silva E, Vincent JL. Effects of dopamine, norepinephrine, and epinephrine on the splanchnic circulation in septic shock: Which is best?. Crit Care Med. 2003 Jun; 31(6):1659-67.
21. Oldenburg WA, Lau LL, Rodenberg TJ, et al. Acule mesentericischemia: a clinical review.Arch lntem Med. 2004; 164:1054---62.
22. Kozuch PL,Brandt LJ.Reviewarticle: diagnosis and management of mesemeric ischaemia with an emphasis on pharmacotherapy.Aliment Pharmacol Ther 2005; 21(3): 201-15.
23. Frishman WH, Novak S, Brandt U, et al.Pharmacologic management of mesenteric occlusive disease. Cardiol Rev. 2008; 16:59-68.
24. Shoots IG, Levi NM, Reekers JA, et al. Thrombolytic therapy for acute superiormesentericartery occlusion.J Vasc Interv Radio!. 2005;16: 317-29.
25. Wain RA, Hines G.Surgical management of mesenteric occlusive disease: a contemporary review of invasive and minirnally invasive techniques. Cardiol Rev.2008;16: 69 75.
26. Kougias P, Lau D, El Sayed H, et al. Detenninants of mortality and treatment outcome following surgical interventions for acute mesenteric ischemia. J Vasc Surg.2007; 46: 467 74.
27. Acosta-Merida MA, Marchena-Gomez J, Hemmersbach-Miller M, et al. ldentification of risk factors for perioperative mortality in acute mesenteric ischemia. World J Surg. 2006; 30(8): 1579-85.
28. Schoots IG, Koffeman GI, Legemate DA, et al.Systematic review of survival after acule mesenteric ischaemia according to disease aetiology. Br J Surg. 2004; 91(1):17 27.
29. Bradbury AW, Brittenden J, McBride K, et al. Mesenteric ischaemia: a multidisciplinary approach. Br J Surg. 1995; 82(11):1446-59.
30. Schoots IG, Levi MM, Reekers JA, et al. Thrombolytic therapy for acute superior mesentericartery occlusion. J Vasc Interv Radio!. 2005; 16(3):317-29.
31. Sreenarashimhaiah J. Chronic mesenteric ischemia. Best Pract Res Clin Gastroenterol.2005;19(2):283-95.
32. Wilson DB, Mostafavi K, Craven TE, et al. Clinical course of mesenteric artery stenosisin elderly Americans. Arch lntem Med. 2006; 166:2095-100.
33. Hansen KJ, Wilson DB, Craven TE, et al. Mesenteric artery disease in the elderly. J Vasc Surg.2004; 40:45 52.
34. Meaney JF, Prince MR, Nostrant TT, et al. Gadolinium - enhanced MR angiography of visceral arteries in patients with suspected chronic mesenteric ischemia. J Magn Reson Imaging. 1997; !:171-6.
35. Wain RA,Hines G. Surgical management of mesenteric occlusive disease: a contemporaryreview of invasive and minirnally invasive techniques. Cardiol Rev. 2008; 16 :69 75.
36. Atkins MD, Kwolek CJ, LaMuraglia GM, et al. Surgical revascularization versus endovascular therapy for chronic mesentericiscbemia:a comparative experience. J Vasc Surg. 2007; 45:1162-7.
37. Sullivan TM, Oderich GS, Malgor RD, Ricotta II JJ. Revascularizacion abierta y endovascular para la isquemiamesentericacronica:revisióntabula da de los estudios publicados. An. cir. vasc. 2009; 23(5): 770-82.
38. Levy AD. Mesenteric ischemia.Radio! Clin NorthAm. 2007; 45:593-9
39. Balthazar EJ, Liebeskind ME, Macari M. Intestinal ischemia in patients in whom small bowel obstruction is suspected: evaluation of accuracy, limitations, and clinical implications of CT in diagnosis. Radiology. 1997; 205(2):519 22.
40. Frager D, Baer JW, Medwid SW, et al. Detection of intestinal ischemia in patients with acute small-bowel obstruction due to adhesions or hernia: efficacy of CT.AJR Am JRoentgenol.1996;166(1): 67-7l.
41. Cademartiri F, Raaijmakers RH, Kuiper JW, et al. Multi- detector row CT angiography in patients witb abdominal angina. Radiographics. 2004; 24(4):969-84.
42. Marchena-Gomez J, Acosta-Merida MA, Hemrnersbach-Miller M, et al. El índice de comorbilidad de Charlson ajustado por edad como variable pronos tica en pacientes con isquemia mesentérica aguda.An. cir.vasc. 2009; 23(4): 505-12.
43. Acosta-Mérida MA et al.Factores predictivos de necrosis masiva intestinal en la isquemia mesentérica. Cir Esp. 2007; 81(3):144-9.
44. Stoney RJ, Cunningham CG. Acute mesenteric ischemia. Surgery. 1993; 114:489-90.
45. Horton KM, Fishman EK.Multidetector CT angiographyin the diagnosis of mesentericischemia. Radio! Clin North Am. 2007 Mar;45(2):275-88.
46. Rootbottom CA, Dubbins PA. Significant disease of the ce!iac and superior mesenteric arteries in asymptomatic patients: predictive value of Doppler sonography.AJRAmJ Roentgenol.1993; 161(5):985-8.
47. Thomas IB, Blake K, Pierce GE, et al.The clínica! course of asymptomatic mesenteric arterial stenosis. J Vasc Surg. 1998; 27(5):840-4.
48. Carvajal Balaguera J, et al. Neumatosis intestinal y gas en el territorio venoso portomesentérico en el paciente anciano: etiología, fisiopatología y significado clínico. Rev Esp Geriatr Gerontol. 2007; 42(6):364-9.
49. Peloponissios N, Halkic N, Pugna!e M, Jomod P, Nordback P, Meyer A. Hepatic portal gas in adults. Review of the literature and presentation of consecutive series of 11cases.Arch Surg. 2003; 138:1367-70.
50. De Brawer J, Masereel B, Visser R, Geyskens P. Pneumatosis intestinalis by ischaemic bowel: report of three cases. Acta Chir Belg.2006; 106:592-5.
51. Schindera S, Triller J, VockP, HoppeH. Detection of hepatic venous gas: its clínica! and outcome.Emerg Radio!.2006; 12: 164-70.