Acute mesenteric ischemia. Principles of treatment and surgical approach

The AA report some considerations on the treatment and surgical approach during acute mesenteric ischemia (IMA) focusing some indications for a timely and suitable therapeutic approach. In the last 2 years, they treated 12 cases of IMA in critical patients. Early identification allows avoiding advan...

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Veröffentlicht in:Annali italiani di chirurgia 2010-03, Vol.81 (2), p.129-135
Hauptverfasser: Zuccon, William, Creperio, Giampietro, Paternollo, Roberto, Iamele, Angelo, Pagani, Maurizio, Bianchi, Massimo, Bernardin, Elena, Familiari, Guido
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container_title Annali italiani di chirurgia
container_volume 81
creator Zuccon, William
Creperio, Giampietro
Paternollo, Roberto
Iamele, Angelo
Pagani, Maurizio
Bianchi, Massimo
Bernardin, Elena
Familiari, Guido
description The AA report some considerations on the treatment and surgical approach during acute mesenteric ischemia (IMA) focusing some indications for a timely and suitable therapeutic approach. In the last 2 years, they treated 12 cases of IMA in critical patients. Early identification allows avoiding advanced phases of the intestinal infarct/bowel necrosis; in this phase the multidisciplinary approach for the hemodynamic stabilization is a priority, together with rianimatory support and surgery operation. The preservation of the intestinal vitality is essential to avoid the need of bowel resections or at least a major one. A suitable treatment permits a better survival and improvement of the quality of life. Surgical timing requires the intervention within 12 hours since the beginning of the symptoms to be more efficacious.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Acute Disease
Adult
Aged
Aged, 80 and over
Female
Humans
Ischemia - surgery
Male
Mesentery - blood supply
Middle Aged
title Acute mesenteric ischemia. Principles of treatment and surgical approach
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