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Titolo:
Acute intestinal ischaemia
Autore:
Lock, G;
Indirizzi:
Univ Regensburg, Dept Internal Med, D-93042 Regensburg, Germany Univ Regensburg Regensburg Germany D-93042 , D-93042 Regensburg, Germany
Titolo Testata:
BEST PRACTICE & RESEARCH IN CLINICAL GASTROENTEROLOGY
fascicolo: 1, volume: 15, anno: 2001,
pagine: 83 - 98
SICI:
1521-6918(200102)15:1<83:AII>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MESENTERIC ISCHEMIA; SPLANCHNIC ARTERY-STENOSIS; VENOUS THROMBOSIS; DIAGNOSIS; INFARCTION; MANAGEMENT; OCCLUSION; DISEASE; CT; SONOGRAPHY;
Keywords:
intestinal ischaemia; mesenteric ischaemia; non-occlusive ischaemia; diagnosis; treatment; angiography; mesenteric venous thrombosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
52
Recensione:
Indirizzi per estratti:
Indirizzo: Lock, G Univ Regensburg, Dept Internal Med, D-93042 Regensburg, Germany Univ Regensburg Regensburg Germany D-93042 2 Regensburg, Germany
Citazione:
G. Lock, "Acute intestinal ischaemia", BEST PR RES, 15(1), 2001, pp. 83-98

Abstract

The subsets of acute mesenteric ischaemia include mesenteric arterial occlusion (by embolus or thrombosis), mesenteric venous thrombosis and non-occlusive mesenteric ischaemia. Despite advances in pathophysiology, laboratorydiagnosis and imaging techniques, acute mesenteric ischaemia is still associated with mortality rates of more than 60% and continues to be a challenging diagnostic problem. The key to a better outcome (and the main problem in clinical practice) is early diagnosis. Clinical presentation may be unspecific, but is often characterized by an initial discrepancy between severe subjective pain and relatively unspectacular findings on physical examination. Up to now, there are no simple and non-invasive diagnostic tests of sufficient sensitivity and specificity; thus, angiography remains the cornerstone of diagnosis and should be performed early in all patients in which mesenteric ischaemia is a realistic differential diagnosis. Treatment for obstructive mesenteric arterial syndromes and most patients with mesenteric venous thrombosis is surgical, whereas nonocclusive mesenteric ischaemia may be managed by pharmacological vasodilation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/01/20 alle ore 14:03:43