Mesenteric Ischemia

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Radiology •Angiogram: •“Gold standard” for diagnosis •Offers not only a diagnostic but therapeutic option (ex. thrombolytics or use of papaverine as a vasodilator) •Disadvantage includes invasive measure, and cost.
Treatment •Mainstay of treatment is surgical exploration, especially if patients exhibit peritoneal signs. •Goal of surgery includes: 1.Determining any vascular compromise amenable to embolectomy, or if a vascular reconstruction using a saphenous vein graft for a aortomesenteric bypass. 2.Resecting compromised bowel. 3.Consider a second look laparotomy.
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 and 12: Clinical Presentation •A difficul
Page 13 and 14: Oldenburg WA et al. Arch Intern Med
Page 15 and 16: Radiology •Ultrasound: •Using d
Page 17 and 18: Radiology
Page 19: Radiology •MRI/MRA: Can be used t
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

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