Nonocclusive mesenteric ischemia in renal patients: recognition and prevention of intestinal gangrene.
Nonocclusive mesenteric ischemia (NOMI) is a disorder with an extremely high mortality. Salvage of affected patients requires early recognition and aggressive intervention to prevent intestinal gangrene. Dialysis patients represent a group at particularly high risk for this condition. Clinicians should develop a high index of suspicion for NOMI in dialysis patients to lessen the risk of death. A high interventional posture must be maintained due to the notoriously unreliable signs and symptoms of this disorder.
Valentine
R J
RJ
Division of Vascular Surgery, Bethesda Naval Hospital, MD.
Whelan
T V
TV
Meyers
H F
HF
D000368:Aged; D006801:Humans; D007238:Infarction / Q000209:etiology / Q000517:prevention & control; D007422:Intestines / Q000098:blood supply; D007511:Ischemia / Q000150:complications*; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging; D010208:Papaverine / Q000008:administration & dosage; D011859:Radiography; D013035:Spasm / Q000150:complications / Q000188:drug therapy
D010208:Papaverine