keyword
https://read.qxmd.com/read/37643848/diagnostic-potential-of-plasma-biomarkers-and-exhaled-volatile-organic-compounds-in-predicting-the-different-stages-of-acute-mesenteric-ischaemia-protocol-for-a-multicentre-prospective-observational-study-tactic-study
#21
JOURNAL ARTICLE
Annet A M Duivenvoorden, Mathias Clarysse, Laurens J Ceulemans, Robert H Geelkerken, Joep P M Derikx, Jean-Paul P M de Vries, Hessel C J L Buscher, Steven W M Olde Damink, Frederik Jan van Schooten, Tim Lubbers, Kaatje Lenaerts
INTRODUCTION: Acute mesenteric ischaemia (AMI) is a life-threatening condition with short-term mortality of up to 80%. The diagnosis of AMI has remained troublesome due to the non-specific clinical presentation, symptoms and laboratory findings. Early unambiguous diagnosis of AMI is critical to prevent progression from reversible to irreversible transmural intestinal damage, thereby decreasing morbidity and improving survival. The present study aims to validate a panel of plasma biomarkers and investigate volatile organic compound (VOC) profiles in exhaled air as a tool to timely and accurately diagnose AMI...
August 29, 2023: BMJ Open
https://read.qxmd.com/read/37640253/the-diagnostic-value-of-biomarkers-in-acute-mesenteric-ischaemia-is-insufficiently-substantiated-a-systematic-review
#22
REVIEW
Juliëtte T M Blauw, Flores M Metz, Alexandre Nuzzo, Faridi S van Etten-Jamaludin, Marjolein Brusse-Keizer, Marja A Boermeester, Maikel Peppelenbosch, Robert H Geelkerken
OBJECTIVE: There is a high urgency of accurate biomarkers to support timely diagnosis of acute mesenteric ischaemia (AMI) and thereby improve clinical outcome. With this systematic review, the aim is to substantiate the potential diagnostic value of biomarkers for arterial occlusive AMI. DATA SOURCES: The Pubmed, Embase, and the Cochrane Library electronic databases were searched. REVIEW METHODS: A systematic review of the literature has been conducted to define the potential diagnostic value of biomarkers for arterial occlusive AMI...
August 26, 2023: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/37527947/open-revascularization-in-a-patient-with-chronic-mesenteric-ischemia-and-a-history-of-aorto-bifemoral-bypass-a-case-report
#23
JOURNAL ARTICLE
M Olexa, K Lipár, J Chlupac, L Janousek, J Froněk
INTRODUCTION: This case report describes surgical treatment of chronic mesenteric ischemia in a polymorbid patient with the history of an aorto-bifemoral bypass implant. CASE REPORT: The patient suffered from chronic occlusions of the mesenteric arteries. He experienced postprandial pain and significant weight loss. Endovascular repair of the occlusions failed. Open single retrograde bypass from the left branch of the aorto-bifemoral graft to the superior mesenteric artery was implanted successfully...
2023: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://read.qxmd.com/read/37493183/insights-into-acute-mesenteric-ischaemia-an-up-to-date-evidence-based-review-from-a-mesenteric-stroke-centre-unit
#24
REVIEW
Lorenzo Garzelli, Iannis Ben Abdallah, Alexandre Nuzzo, Magaly Zappa, Olivier Corcos, Marco Dioguardi Burgio, Dominique Cazals-Hatem, Pierre-Emmanuel Rautou, Valérie Vilgrain, Paul Calame, Maxime Ronot
Radiologists play a central role in the diagnostic and prognostic evaluation of patients with acute mesenteric ischaemia (AMI). Unfortunately, more than half of AMI patients undergo imaging with no prior suspicion of AMI, making identifying this disease even more difficult. A confirmed diagnosis of AMI is ideally made with dynamic contrast-enhanced CT but the diagnosis may be made on portal-venous phase images in appropriate clinical settings. AMI is diagnosed on CT based on the identification of vascular impairment and bowel ischaemic injury with no other cause...
July 26, 2023: British Journal of Radiology
https://read.qxmd.com/read/37451604/a-systematic-review-of-endovascular-repair-outcomes-in-atherosclerotic-chronic-mesenteric-ischaemia
#25
REVIEW
Petroula Nana, Mark J W Koelemay, Nicola Leone, Alexandros Brodis, Jos C van den Berg, Jorg L de Bruin, Robert H Geelkerken, Konstantinos Spanos
OBJECTIVE: Chronic mesenteric ischaemia (CMI) treatment focuses on symptom relief and prevention of disease progression. Endovascular repair represents the main treatment modality, while data on the associated antiplatelet regimen are scarce. The aim of this meta-analysis was to assess the early and midterm outcomes of endovascular repair in patients with CMI. DATA SOURCES: Randomised controlled trials and observational studies (1990 - 2022) reporting on early and midterm endovascular repair outcomes in patients with atherosclerotic CMI...
July 13, 2023: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/37437960/midgut-volvulus-in-a-pediatric-patient-with-chronic-constipation-congenital-intestinal-malrotation-and-internal-transmesocolic-hernia
#26
JOURNAL ARTICLE
Emily Brezler, Rita Sico, Federico G Seifarth
Congenital intestinal malrotation occurs in 1 of 500 newborns and can predispose patients to intestinal volvulus and internal herniation, putting patients at risk for intestinal ischaemia. A male patient in early childhood with a history of severe constipation presented with acute abdominal pain, progressing rapidly to compensated shock. CT scan was suspicious for small bowel ischaemia and superior mesenteric artery compression. He underwent emergency exploratory laparotomy. Intraoperative findings were significant for partial intestinal malrotation with mobile ascending colon and high-riding caecum, and internal herniation with midgut volvulus of the ascending colon through a mesenteric defect in the proximal transverse colon...
July 12, 2023: BMJ Case Reports
https://read.qxmd.com/read/37423734/indocyanin-green-fluorescence-evaluation-of-colonic-perfusion-during-elective-open-abdominal-aortic-aneurysm-repair
#27
JOURNAL ARTICLE
Adam Tam, Ahmed Abdel-Rahim, Francis Dix, Jamie Barwell, Devender Mittapalli
OBJECTIVES: Colonic ischaemia is a rare but devastating complication of open aortic aneurysm repair and is associated with high morbidity and a mortality of up to 50%. The aim of this study was to determine the safety and effectiveness of using indocyanin green florescence (ICG) to interrogate colonic perfusion intra-operatively. DESIGN: Prospective observational study. METHODS: All elective open abdominal aneurysm repairs over a 6 month period underwent colonic perfusion interrogation with ICG according to a pre-defined protocol...
July 9, 2023: Vascular and Endovascular Surgery
https://read.qxmd.com/read/37396439/inferior-mesenteric-artery-snorkel-for-endovascular-treatment-of-a-large-degenerating-saccular-aneurysm
#28
Shin Mei Chan, Julia Fayanne Chen, Ocean Setia, Naiem Nassiri
OBJECTIVE: Preservation of the inferior mesenteric artery (IMA) during endovascular aortic aneurysm repair (EVAR) is necessary for prevention of mesenteric ischaemia in the case of chronically occluded coeliac and superior mesenteric arteries (SMA). This case report presents an approach in a complex patient. METHODS: A 74 year old man with hepatitis C cirrhosis and recent non-ST elevation myocardial infarction presented with an infrarenal degenerating saccular aneurysm (58 mm), chronically occluded SMA and coeliac artery, and 9 mm IMA with high grade ostial stenosis...
2023: EJVES vascular forum
https://read.qxmd.com/read/37317032/discontinuity-of-marginal-artery-at-splenic-flexure-and-rectosigmoid-junction-a-systematic-review-and-meta-analysis
#29
REVIEW
Roberto Cirocchi, Justus Randolph, Isaac Cheruiyot, R Justin Davies, Sara Gioia, Brandon Michael Henry, Gabriele Anania, Annibale Donini, Andrea Mingoli, Paolo Sapienza, Stefano Avenia
AIM: The aim of this study was to provide comprehensive evidence-based assessment of the discontinuity of the marginal artery at the splenic flexure (SF) and the rectosigmoid junction (RSJ). METHOD: A systematic review was conducted of literature published to 26 December 2022 in the electronic databases PubMed, SCOPUS and Web of Science to identify studies eligible for inclusion. Data were extracted and pooled into a meta-analysis using the Metafor package in R...
July 2023: Colorectal Disease
https://read.qxmd.com/read/37249070/use-of-steerable-sheaths-for-complex-aortic-procedures
#30
JOURNAL ARTICLE
Ben Harrison, Richard Bond
OBJECTIVES: To demonstrate the ease with which steerable sheaths, designed for cardiac electrophysiological applications, can be used to aid endovascular treatment of a wide range of non-cardiac vascular disease and to assist with target vessel cannulation in branched and fenestrated aortic grafts. METHODS: A retrospective medical chart review was carried out to identify cases from a single vascular surgery unit (2019-2022) where the HeartSpan Steerable Sheath (HSS) (Merit Medical, South Jordan, UT, USA) was utilised to enable endovascular management of complex vascular pathology...
May 30, 2023: Vascular
https://read.qxmd.com/read/37246685/primary-defect-of-ileal-mesentery-presenting-as-internal-herniation-and-strangulation-of-the-small-bowel-case-report
#31
Marya Saleem, Muhammad Haris Janjua, Muhammad Zeeshan Sarwar, Syed Asghar Naqi
Primary internal hernia is a rare entity of acute intestinal obstruction. Delay in diagnosis and surgical intervention can cause ischaemia or gangrene of the small bowel and result in high morbidity and mortality. A 14-year-old boy presented to the emergency department with acute intestinal obstruction. On exploration, 3-4cm mesenteric defect was noted in the ileal region. Strangulated loops of the small bowel had gone through the mesenteric defect in a complicated way. Primary anastomosis was done after resection of the gangrenous small bowel...
December 2022: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/37052018/treatment-of-superior-mesenteric-artery-mycotic-aneurysm-by-synthetic-vascular-graft-a-case-report
#32
Syed Muhammad Hammad Alam, Rabia Gilani, Muhammad Ali Adnan, Nida Jawad, Asif Raza, Amber Farman
Superior mesenteric artery (SMA) aneurysm is a rare disease, especially if it is mycotic (infective) in origin. It is difficult to detect the problem during its initial natural course and usually presents in late phase due to its complications such as rupture, dissection, haemorrhage, and mesenteric ischaemia. Initially, the patient present with non-specific symptoms like vague colicky abdominal pain, nausea, vomiting, discomfort, malaise, and low-grade fever but prompt workup and intervention can lead to definitive diagnosis and uneventful outcome...
April 2023: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/37051483/reversible-unstable-abdominal-angina-caused-by-ruptured-plaque-of-the-superior-mesenteric-artery-clinical-and-radiological-correlations
#33
JOURNAL ARTICLE
Shaul Yaari, Nurith Hiller, Yacov Samet, Samuel N Heyman
UNLABELLED: Unstable angina, characteristic of coronary artery disease, is caused by in-situ clot formation complicating ruptured atheromatous plaque. Abdominal angina, however, usually reflects chronic mesenteric ischaemia, caused by multi-vessel stable plaques involving mesenteric arteries. Herein, we describe a patient with new-onset abdominal pain caused by a ruptured atheromatous plaque at the superior mesenteric root. The diagnosis was based on an evident reversible epigastric bruit and high-degree eccentric stenosis caused by a non-calcified atheroma...
2023: European Journal of Case Reports in Internal Medicine
https://read.qxmd.com/read/37029949/the-vascular-patient-chronic-mesenteric-ischemia-aaa-and-iliac-occlusion
#34
JOURNAL ARTICLE
Carlos Veterano, Henrique Rocha, Carlos Veiga, Rui Almeida, Pedro Sá Pinto
Peripheral arterial disease (PAD), abdominal aortic aneurysm (AAA) and chronic mesenteric ischaemia (CMI) are vascular diseases uncommonly observed in the same patient, especially when treatment is required. This case report illustrates a patient requiring mesenteric revascularization due to CMI. A long flush occlusion of the superior mesenteric artery (SMA) precluded endovascular revascularization. Therefore, we performed a retrograde bypass from the right common iliac artery (CIA) to the SMA. On the 6-month follow-up, the patient developed right limb ischemia despite the absence of intestinal angina...
April 4, 2023: Port J Card Thorac Vasc Surg
https://read.qxmd.com/read/36963863/management-of-acute-mesenteric-ischaemia-results-of-a-worldwide-survey
#35
JOURNAL ARTICLE
Benjamin Hess, Martin Cahenzli, Alastair Forbes, Rosa Burgos, Federico Coccolini, Olivier Corcos, Mette Holst, Øivind Irtun, Stanislaw Klek, Loris Pironi, Henrik Højgaard Rasmussen, Mireille J Serlie, Ronan Thibault, Simon Gabe, Annika Reintam Blaser
BACKGROUND: Acute mesenteric ischaemia (AMI) is a condition with high mortality. This survey assesses current attitudes and practices to manage AMI worldwide. METHODS: A questionnaire survey about the practices of diagnosing and managing AMI, endorsed by several specialist societies, was sent to different medical specialists and hospitals worldwide. Data from individual health care professionals and from medical teams were collected. RESULTS: We collected 493 individual forms from 71 countries and 94 team forms from 34 countries...
April 2023: Clinical Nutrition ESPEN
https://read.qxmd.com/read/36942287/rare-direct-embolism-of-urothelial-carcinoma-causing-acute-mesenteric-ischaemia-during-remission
#36
Balakavitha Balaravi Pillai, Bushra Othman, Eugenia Ip
Metastatic abdominal carcinomas have been reported in the literature to cause bowel ischaemia. However, these are often associated with diffuse disease or direct invasion of adjacent bowel secondary to high-grade malignancies. There are no reported cases of extensive small bowel wall nor arterial occlusion as a result of metastasis from treated early-stage urothelial carcinoma. We present an octogenarian male patient who was diagnosed with small bowel ischaemia secondary to extensive metastatic urothelial carcinomatous to the small bowel...
March 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/36921752/a-new-computed-tomography-classification-for-acute-mesenteric-ischaemia-more-than-a-gut-feeling
#37
JOURNAL ARTICLE
Jos C van den Berg
No abstract text is available yet for this article.
March 13, 2023: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/36906102/hypercoagulability-status-operative-mortality-and-long-term-survival-in-patients-operated-on-for-mesenteric-venous-thrombosis
#38
JOURNAL ARTICLE
María Asunción Acosta-Mérida, David Ortiz-López, Aurora Suárez-Cabrera, María Pelloni, Aída Cristina Rahy-Martín, Raquel Bañolas-Suárez, Joaquín Marchena-Gómez
OBJECTIVE: Mesenteric venous thrombosis (MVT) is a rare cause of acute surgical abdomen, with high mortality. The aim of this study was to analyse long-term outcomes and possible factors influencing its prognosis. METHODS: All patients undergoing urgent surgery for MVT from 1990 to 2020 in our center were reviewed. Epidemiological, clinical, and surgical data, postoperative outcomes, origin of thrombosis, and long-term survival were analysed. Patients were divided in two groups: primary MVT (hypercoagulability disorders or idiopathic MVT) and secondary MVT (underlying disease)...
March 9, 2023: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/36881494/migrating-minimizer-ring-causing-mesenteric-ischaemia
#39
Tess Asgill, Douraid Abbas
No abstract text is available yet for this article.
March 7, 2023: ANZ Journal of Surgery
https://read.qxmd.com/read/36748996/acute-mesenteric-ischaemia
#40
JOURNAL ARTICLE
Hanne Fuglseth, Kjetil Søreide, Morten Vetrhus
No abstract text is available yet for this article.
August 11, 2023: British Journal of Surgery
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