Nonoсclusive mesenteric ischemia (literature review)

نویسندگان

چکیده

Non-occlusive mesenteric ischemia is a relatively rare but extremely complex pathology in terms of diagnosis. A wide range reasons for the development non-occlusive impression dramatically complicates diagnosis and differentiation with other abdominal pathology. The vast majority publications domestic literature on acute disorders blood flow, mostly address problems treatment occlusive types ischemia, while topic remains insufficiently covered. Given that half cases NOMI diagnosed at stage irreversible necrotic changes intestine – there real need to generalize root causes mechanisms neoclustive modern methods treatment. Purpose analyze causes, prevalence, classification, flow. This research, based review, showed (NOMI) associated poor prognosis due lack accurate diagnostic measures. First all, clarity regarding biochemical markers. Therefore, research latter seen as priority. Contrast examination (computed tomography, angiography) are only possible tools. Pharmacological correction fundamental presupposes use drugs vasodilating effect systemically or locally (catheter-associated). An important issue pharmacological agents allow targeted action pathogenetic NOMI. multidisciplinary approach involving specialized doctor, surgeon, an X-ray endovascular surgeon intensive care physician patient suspected foundation success therapy. question laparoscopy controversial, given invasiveness method difficulty interpreting detected early phase disease. No conflict interests was declared by authors. Key words:

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Acute mesenteric ischemia: a clinical review.

Acute mesenteric ischemia is a life-threatening vascular emergency that requires early diagnosis and intervention to adequately restore mesenteric blood flow and to prevent bowel necrosis and patient death. The underlying cause is varied, and the prognosis depends on the precise pathologic findings. Despite the progress in understanding the pathogenesis of mesenteric ischemia and the developmen...

متن کامل

Mesenteric ischemia.

Superior mesenteric artery embolism or thrombosis and nonocclusive ischemia are the most frequent causes of mesenteric ischemia. Symptoms out of proportion to the physical findings, leucocytosis, and metabolic acidosis suggest the diagnosis. A high index of suspicion, aggressive resuscitation and correction of metabolic derangements, early angiography, and operative intervention are necessary i...

متن کامل

Mesenteric Ischemia

Mesenteric ischemia is caused by blood flow that is insufficient to meet the metabolic demands of the visceral organs. The severity of ischemia and the type of organ involved depend on the affected vessel and the extent of collateral-vessel blood flow. Despite advances in the techniques used to treat problems in the mesenteric circulation, the most critical factor influencing outcomes in patien...

متن کامل

Fatal Mesenteric Ischemia Induced by Synthetic Cannabinoids: A Case Report and Literature Review

Worldwide use of synthetic cannabinoids (SCs) is rapidly increasing, in part due to the generation of numerous new compounds, sidestepping legal restrictions. Their detection using standard toxicology panels is difficult, due to their vast heterogeneity and lack of structural resemblance to cannabinoids. Sympathetic overactivity and arterial spasm play a role in some of the life-threatening rea...

متن کامل

Non-Occlusive Mesenteric Ischemia

Introduction Non-occlusive mesenteric ischemia (NOMI) is an acute mesenteric circulatory disorder that, in contrast to mesenteric arterial occlusion induced by blockage of blood flow by emboli and thrombi, is not caused by organic occlusion of blood vessels. 1 Good outcomes in NOMI are observed with early recognition and treatment. 1-2 The early symptoms and characteristics of NOMI, however, ar...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: ???????? ???????? ????

سال: 2021

ISSN: ['2521-1358', '2304-0041']

DOI: https://doi.org/10.15574/ps.2021.72.76