Mesenteric ischemia.
MI remains a highly lethal entity. Improving survival requires an aggressive, multidisciplinary approach. High-risk patients with severe abdominal pain and a paucity of physical findings should be undergo emergent imaging in a search for this disease. Improvements in laboratory tests and advances in imaging techniques may improve the ability to diagnose MI earlier in its course, before irreversible damage has occurred. Many treatment modalities are available and should be tailored to each individual case. By recognizing and preventing ischemia-reperfusion injury,the cycle of protracted complications may be broken. A decrease in the mortality from MI finally is occurring. Early recognition and aggressive treatment finally may allow clinicians to have a marked impact on patient survival.
Department of Surgery, Division of Emergency Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA. jmartine@umaryland.edu
Joseph P
JP
Martinez
Gerard J
GJ
Hogan
D015746:Abdominal Pain / Q000209:etiology; D000208:Acute Disease; D000792:Angiography; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D002908:Chronic Disease; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004562:Electrocardiography; D017128:Embolectomy; D004635:Emergency Medicine / Q000379:methods*; D004638:Emergency Treatment / Q000379:methods*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D008487:Medical History Taking; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D009017:Morbidity; D010808:Physical Examination; D015427:Reperfusion Injury / Q000209:etiology / Q000517:prevention & control; D012307:Risk Factors; D017131:Thrombectomy; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D000925:Anticoagulants