Acute Mesenteric Ischemia

Abstract

The term acute mesenteric ischemia (AMI) is applied to a wide spectrum of bowel injury within the distribution of the superior mesenteric vessels, ranging from reversible alterations in bowel function to transmural necrosis of the bowel wall. Intensivists not only are called upon to manage this catastrophic disease but also may be faced with AMI as a consequence of other illnesses that they treat.

Predictors of mortality in acute mesenteric vascular ischemia with bowel gangrene

“…In our study we found it to be 46.87%. 3,9 This disease usually affects patients in higher age group who have multiple comorbid conditions4 and both advanced age and presence of comorbid conditions, especially more than one simultaneously are the significant risk factors adversely affecting mortality in our study which is consistent with most of the other studies. 4,6,7,10 Both these factors are synergistic but independent determinants of mortality.…”

Role of Thrombophilia in Splanchnic Venous Thrombosis in Acute Pancreatitis

“…Earlier studies have reported that patients with SVT have longer hospital stays compared to those without [6][7][8][9][17][18][19]. Mortality as a direct consequence of SVT has not been reported in patients with AP, although SVT has a high mortality outside the setting of AP [21,22]. We also found no significant difference in mortality between the two groups.…”

Ischemic Colitis: Surging Waves of Update

“…If peritoneal signs develop, they are manifested late in the course of the condition and are often very subtle. The white cell count is generally raised, but significant ischemic injury can be present without leukocytosis (Versteeg and Broders 1979;Kaleya and Boley 1995). If acute ischemia leads to infarction, then fever, neutrophilia, and a metabolic acidosis may be present.…”