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Acute Mesenteric Ischemia

Dr Swapnil Pawar July 14, 2021 79


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    Acute Mesenteric Ischemia
    Dr Swapnil Pawar

Mesenteric Ischemia 

Blog written by – Dr Hyerim Suh

Types of mesenteric ischaemic 

Primary Investigations to order 

  • Bloods (Including FBC, EUC, coagulation panel, ABG, ECG) 
  • Imaging (CT, mesenteric angiography) 

 

Approach to management 

  • Acute mesenteric ischemia 
    • Fluid resuscitation, supplemental oxygen, inotropic support if required and empirical antibiotics 
    • Endovascular treatment if patient is stable 
    • Exploratory laparoscopy and laparotomy if unstable 
  • Chronic mesenteric ischemia
    • Endovascular treatment if patient not a suitable operative candidate 
    • If patient fit for surgery, then surgical systemic-mesenteric bypass 

 

References 

Ischaemic bowel disease, BMJ, https://bestpractice.bmj.com.acs.hcn.com.au/topics/en-gb/818/management-approach

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