Mesenteric ischaemia

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Acute mesenteric ischaemia.

The experience of acute mesenteric ischaemia at St Vincent's Hospital, Melbourne, has been reviewed over 17 years. The mortality remains appallingly high. This applies particularly to those patients who had thrombosis of the superior mesenteric artery, amongst whom the mortality in this series was 97%. The mortality was slightly less in the group suffering from embolic occlusion of the superior...

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Acute mesenteric ischaemia on unenhanced computer-tomography.

We present a 39-year old man with mesenteric ischaemia. The initial unenhanced images of the, non-oral contrast CT abdomen clearly demonstrated increased density in a significant length of the small bowel and in the veins of the adjacent mesentery. Mesenteric ischaemia is a difficult diagnosis both clinically and radiologically and we demonstrate the potential benefits of an unenhanced abdomina...

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Percutaneous Angioplasty and Stenting for Mesenteric Ischaemia

Mesenteric ischaemia due to impaired arterial supply is an important cause of abdominal pain, especially in older patients with risk factors for vascular disease. Until recently, surgical revascularisation procedures such as endarterectomy and aorto-coeliac or aortomesenteric bypass grafting were the only available treatment options for patients with mesenteric ischaemia. However, reported rate...

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Multidetector computed tomography of mesenteric ischaemia

UNLABELLED Mesenteric ischaemia comprises a broad, heterogeneous group of diseases characterised by inadequate blood supply to the small or large bowel. Acute mesenteric ischaemia is a surgical emergency, with significant associated morbidity and mortality. Because the clinical presentation of mesenteric ischaemia is variable and often nonspecific, a high index of clinical and radiologic suspic...

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Mesenteric revascularisation for acute-on-chronic intestinal ischaemia.

Eleven patients (eight women) underwent urgent revascularisation for acute-on-chronic mesenteric ischaemia. Four patients had dual vessel and seven single vessel reconstructions. Two patients underwent simultaneous bowel resection and one patient has had three separate grafts to the superior mesenteric artery. There were two peri-operative deaths and three have died in the late follow-up period...

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ژورنال

عنوان ژورنال: Surgery (Oxford)

سال: 2019

ISSN: 0263-9319

DOI: 10.1016/j.mpsur.2018.12.006