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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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