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[Surgical therapy of mesenteric infarct]
1Chirurgische Klinik, Bürgerspital, Solothurn, Schweiz.
Zentralblatt Fur Chirurgie
|March 4, 1999
Summary
Early diagnosis and aggressive treatment, including emergency laparotomy, are crucial for managing acute mesenteric ischemia. This approach aims to reduce high mortality rates, especially in settings lacking advanced angiography.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Emergency Medicine
Context:
- Acute mesenteric infarction is a rare but highly lethal surgical emergency.
- Established bowel infarction carries an 80-90% mortality rate.
- Multimodal therapy has reduced mortality to 50-60% in select cases.
Purpose:
- To present a treatment concept for acute mesenteric ischemia suitable for hospitals without angiography.
- To emphasize early diagnosis and aggressive intervention.
Summary:
- The proposed concept centers on a liberal indication for emergency laparotomy in suspected acute mesenteric ischemia.
- It advocates for a cautious approach in elderly, multimorbid patients with negative prognostic factors.
- This strategy aims to improve outcomes by adapting to resource limitations.
Impact:
- This approach can help reduce mortality from acute mesenteric ischemia in resource-limited settings.
- It promotes a balanced ethical and medical consideration for high-risk patients.
- Facilitates timely surgical intervention when advanced diagnostics are unavailable.