This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Vascular Surgery  • Angiology  • Alert me on articles by topic

Bruce L. Gewertz, MD
Chicago, Ill

Arch Surg. 1999;134:331.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Despite better insights into the pathophysiology of acute mesenteric ischemia, these syndromes remain highly morbid events with reported mortality rates exceeding 60%. The increase in the incidence of these disorders (0.1% of hospital admissions) is secondary to multiple factors, such as heightened awareness for the diagnosis, the advanced mean age of the population, and the increasing number of critically ill patients. Acknowledged risk factors for acute mesenteric ischemia include cardiac arrhythmias, advanced age, low cardiac output states, generalized atherosclerosis, congestive heart failure, severe valvular cardiac disease, recent myocardial infarction, and intra-abdominal malignancy.

Mansour's concise review addresses the proper diagnostic and operative approach to these lethal syndromes. Early and precise diagnosis is key to survival since once bowel infarction has occurred, outcomes are invariably compromised.

To my knowledge, limited information exists regarding the long-term outlook for patients who survive an episode of intestinal ischemia. In a comprehensive . . . [Full Text of this Article]

RELATED ARTICLE

Management of Acute Mesenteric Ischemia
M. Ashraf Mansour
Arch Surg. 1999;134(3):328-330.
ABSTRACT | FULL TEXT