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Published on: October 20, 2023
Nonocclusive mesenteric ischemia in renal patients: recognition and prevention of intestinal gangrene
R J Valentine1, T V Whelan, H F Meyers
1Division of Vascular Surgery, Bethesda Naval Hospital, MD.
Abstract:
Nonocclusive mesenteric ischemia (NOMI) is a disorder with an extremely high mortality. Salvage of affected patients requires early recognition and aggressive intervention to prevent intestinal gangrene. Dialysis patients represent a group at particularly high risk for this condition. Clinicians should develop a high index of suspicion for NOMI in dialysis patients to lessen the risk of death. A high interventional posture must be maintained due to the notoriously unreliable signs and symptoms of this disorder.
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