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Updated: Aug 24, 2025

Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

693

Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery

Miklosh Bala1, Fausto Catena2, Jeffry Kashuk3

  • 1Director of Acute Care Surgery and Trauma Unit, Department of General Surgery, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem Kiriat Hadassah, POB 12000, 91120, Jerusalem, Israel. rbalam@hadassah.org.il.

World Journal of Emergency Surgery : WJES
|October 19, 2022
PubMed

Insights

Acute mesenteric ischemia (AMI) is a rare but deadly condition where blood supply to the intestine is interrupted. Early diagnosis and treatment are crucial to reduce high mortality rates.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Emergency Medicine

Background:

  • Acute mesenteric ischemia (AMI) involves interrupted blood supply to the intestine, causing ischemia and inflammation.
  • Untreated AMI can lead to intestinal necrosis and has a high mortality rate, especially in older patients.
  • Despite low incidence, AMI requires prompt attention due to its severe consequences.

Purpose of the Study:

  • To highlight the critical need for early diagnosis and timely intervention in managing AMI.
  • To emphasize the evolving role of endovascular techniques and advanced imaging in AMI treatment.
  • To advocate for updated guidelines from the World Society of Emergency Surgery for AMI diagnosis and management.

Main Methods:

  • Review of current literature and clinical practices regarding Acute Mesenteric Ischemia.
  • Analysis of diagnostic challenges and treatment modalities, including surgical and endovascular approaches.
  • Assessment of the impact of multidisciplinary care and the need for updated clinical guidelines.

Main Results:

  • AMI is an uncommon surgical admission but carries a significant mortality risk (up to 50% if untreated).
  • Mortality increases with age, and early diagnosis is paramount for effective treatment.
  • Endovascular techniques and advanced imaging offer new therapeutic avenues.

Conclusions:

  • A multidisciplinary approach focusing on early diagnosis and individualized treatment is essential for AMI.
  • Updated guidelines are necessary to provide current, practical recommendations for AMI diagnosis and management.
  • Timely surgical intervention remains a cornerstone of treatment to improve patient outcomes.
Keywords:
Bowel ischemiaGuidelinesMesenteric arterial occlusionMesenteric artery stentingMesenteric ischemiaRecommendationsWorld Society of Emergency Surgery

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