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[Acute intestinal infarction. Diagnostic and therapeutic problems]

E Falco¹, A Nardini, G Celoria

¹II Divisione di Chirurgia Generale, Ospedale Sant'Andrea, La Spezia.

Minerva Chirurgica

|July 1, 1993

Summary

Diagnosing and treating mesenteric infarction is challenging, especially when emergency selective angiography of the superior mesenteric artery (SMA) is unavailable. Mesenteric revascularization followed by a "second look" procedure offers a potential treatment approach.

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Area of Science:

Gastroenterology and Surgical Sciences
Vascular Surgery
Abdominal Imaging

Context:

Mesenteric infarction presents significant diagnostic and therapeutic challenges.
Limited availability of emergency selective superior mesenteric artery (SMA) angiography in many centers complicates timely diagnosis.
This study reviews thirteen cases to highlight clinical experiences and outcomes.

Purpose:

To underscore the difficulties in diagnosing and managing mesenteric infarction.
To evaluate the feasibility and outcomes of mesenteric revascularization.
To emphasize the importance of a planned 'second look' surgical procedure.

Summary:

Thirteen cases of mesenteric infarction were analyzed.
The study highlights diagnostic hurdles and treatment complexities.

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Mesenteric revascularization, when possible, is recommended, ideally followed by a second-look operation within 24 hours.

Impact:

Informs clinical practice regarding the management of mesenteric infarction.
Suggests a structured approach to surgical intervention, including revascularization and second-look procedures.
Aims to improve patient outcomes by addressing the complexities of this critical condition.