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[Acute mesenteric infarct. III. Therapeutic problems].

L Quaranta, D Segre, E Balestrino

    Minerva Chirurgica
    |July 31, 1989
    PubMed
    Summary
    This summary is machine-generated.

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    Early diagnosis and targeted treatment are crucial for acute mesenteric infarction, a condition with high mortality. Prompt intervention during reversible ischemia significantly impacts patient outcomes.

    Area of Science:

    • Gastroenterology
    • Vascular Surgery
    • Emergency Medicine

    Context:

    • Acute mesenteric infarction presents a significant clinical challenge with high mortality rates.
    • This study reviews treatment strategies for 11 cases of acute mesenteric infarction, focusing on arterial occlusion (embolic and thrombotic).

    Purpose:

    • To describe the treatment approaches for acute mesenteric infarction.
    • To emphasize the critical need for early, accurate diagnosis and cause-specific treatment.
    • To discuss postoperative management, including shock, recurrence prevention, and short bowel syndrome.

    Summary:

    • Eleven cases of acute mesenteric infarction were treated, involving arterial occlusion from embolism (6 cases) and thrombosis (5 cases).
    • Surgical interventions included laparotomies, intestinal resections, and superior mesenteric artery embolectomy.

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  • The overall mortality rate was 63%, highlighting the severity of the condition.

    • Impact:

    • Highlights the importance of timely, etiopathogenetic diagnosis for initiating treatment in the reversible ischemic phase.
    • Underscores the need for targeted therapies addressing the specific cause of mesenteric ischemia.
    • Informs postoperative care strategies, focusing on shock management, recurrence prevention, and short bowel syndrome.