Mesenteric Ischemia

More documents

Recommendations

Info

Diagnosis •High index of suspicion is required to limit or prevent patients from developing generalized peritonitis which may represent intestinal infarction. •Especially should be considered in patients with a history of atrial fibrillation in patients older than 60 years of age, or patients with postprandial abdominal pain and weight loss. •Survival ~ 50% when diagnosed with 24 hours of onset of symptoms, but decreases to less than 30% when delayed.
Oldenburg WA et al. Arch Intern Med. 2004;164:1054-1062. Laboratory •May have a profound leukocytosis of 25-40k. •May have a metabolic acidosis. •Often demonstrate hemoconcentration on the CBC. •May also see a widened anion gap and lactic acid levels. Amylase, AST, LDH, CPK may also be elevated but is fairly non-specific.
Page 1 and 2: Mesenteric Ischemia Gordon Callende
Page 3 and 4: Definition • Bowel ischemia is a
Page 5 and 6: Pathophysiology •Acute ischemia c
Page 7 and 8: Causes of Mesenteric Ischemia • A
Page 9 and 10: Causes of Mesenteric Ischemia •Ve
Page 11: Clinical Presentation •A difficul
Page 15 and 16: Radiology •Ultrasound: •Using d
Page 17 and 18: Radiology
Page 19 and 20: Radiology •MRI/MRA: Can be used t
Page 21 and 22: Treatment •Mainstay of treatment
Page 23 and 24: Laparoscopy following recent laparo
Page 26 and 27: val varies depending on of ischemia
Page 28 and 29: Phases of Short Bowel Syndrome •A
Page 30: SBS Induced Malnutrition • Fat so

Mesenteric Ischemia

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?