title: [The difficulties of diagnosis and treatment of non-occlusive mesenteric circulatory disorders].
abstract: OBJECTIVE
  To review one of actual problems of emergency surgery - diagnosis and treatment of patients with non-occlusive mesenteric circulatory disorders.
  
  
  METHODS
  The article presents the clinical observations showing the ambiguity of clinical picture, features and challenges of diagnosis, treatment of disease and opportunities for positive outcomes. Diagnostic methods are x-ray, abdominal ultrasonography according to which acute abdominal ischemia may be assumed. However, in all unclear cases diagnostic videolaparoscopy is mandatory to determine further tactics. Unfortunately diagnostic videolaparoscopy is not always interpreted comprehensively and not a definitive method of diagnosis. Wide surgical access is usually necessary for non-occlusal acute violation of mesenteric circulation and volume of surgery varies from segmental to subtotal intestinal and colic resection with obligatory enteral intubation and decompression. Thus, complex pre- and postoperative treatment is required.
authors.affiliation: N.V.Sklifosovsky Research Institute of Emergency Care, Department of Health, Moscow; Chair of Emergency and General Surgery of Russian Medical Academy of Postgraduate Education, Moscow.
authors.forename: A S
authors.initials: AS
authors.lastname: Ermolov
authors.affiliation: N.V.Sklifosovsky Research Institute of Emergency Care, Department of Health, Moscow.
authors.forename: A G
authors.initials: AG
authors.lastname: Lebedev
authors.affiliation: N.V.Sklifosovsky Research Institute of Emergency Care, Department of Health, Moscow.
authors.forename: G P
authors.initials: GP
authors.lastname: Titova
authors.affiliation: N.V.Sklifosovsky Research Institute of Emergency Care, Department of Health, Moscow; Chair of Emergency and General Surgery of Russian Medical Academy of Postgraduate Education, Moscow.
authors.forename: P A
authors.initials: PA
authors.lastname: Yartsev
authors.affiliation: N.V.Sklifosovsky Research Institute of Emergency Care, Department of Health, Moscow.
authors.forename: I E
authors.initials: IE
authors.lastname: Selina
authors.affiliation: Chair of Emergency and General Surgery of Russian Medical Academy of Postgraduate Education, Moscow.
authors.forename: P A
authors.initials: PA
authors.lastname: Reznitsky
authors.affiliation: N.V.Sklifosovsky Research Institute of Emergency Care, Department of Health, Moscow.
authors.forename: O A
authors.initials: OA
authors.lastname: Alekseechkina
authors.affiliation: N.V.Sklifosovsky Research Institute of Emergency Care, Department of Health, Moscow.
authors.forename: O Kh
authors.initials: OK
authors.lastname: Kaloeva
authors.affiliation: Chair of Emergency and General Surgery of Russian Medical Academy of Postgraduate Education, Moscow.
authors.forename: H V
authors.initials: HV
authors.lastname: Shavrina
authors.affiliation: N.V.Sklifosovsky Research Institute of Emergency Care, Department of Health, Moscow, Chair of Emergency and General Surgery of Russian Medical Academy of Postgraduate Education, Moscow.
authors.forename: O L
authors.initials: OL
authors.lastname: Evdokimova
authors.affiliation: N.V.Sklifosovsky Research Institute of Emergency Care, Department of Health, Moscow, Chair of Emergency and General Surgery of Russian Medical Academy of Postgraduate Education, Moscow.
authors.forename: R G
authors.initials: RG
authors.lastname: Zhigalkin
mesh_terms: D000792:Angiography; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D065666:Mesenteric Ischemia / Q000175:diagnosis* / Q000503:physiopathology; D008875:Middle Aged; D011860:Radiography, Abdominal; D013152:Splanchnic Circulation; D014057:Tomography, X-Ray Computed