Interdisciplinary approach in emergency revascularization and treatment for acute mesenteric ischemia

Abstract Background Mesenteric ischemia is associated with poor outcome and high overall mortality. The aim was to analyze an interdisciplinary treatment approach of vascular visceral specialists focusing on the in-hospital follow-up in patients acute acute-on-chronic mesenteric ischemia. Methods From 2010 until 2017, 26 consecutive or chronic were treated by team. Data prospectively collected retrospectively evaluated. Throughout initial examination, extent bowel resection determined surgeon appropriate mode revascularization surgeon. routine included clinical examination ultrasound- CT-imaging for patency assessment survival as primary endpoint study. Results Out patients, 18 (69.2%) rendered open repair. Ten (38.5%) received reconstruction superior artery iliac-mesenteric bypass. Seven (26.9%) underwent thrombembolectomy artery. One patient infra-diaphragmatic aorto-celiac-mesenteric 8 who not suitable revascularization, 2 (7.7%) endovascularly 6 (23.1%) explorative laparotomy. mortality 23% (n = 6). mean revascularized group 20) 51.8 months (95% CI 39.1–64.5) compared 15.7 non-revascularized 6) − 4.8–36.1; p 0.08). median 64.6 months. Primary 16 after interventional 100% 89.9% follow-up. Conclusion improves if carried out time. Hereby measures are advantageous they allow assessment, resection, a one-stop fashion especially advanced cases.