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[Mesenteric ischemia in hemodialyzed patients]
T Hachache1, R Milongo, F Kuentz
1AGDUC (Association Grenobloise pour la Dialyse des Urémiques Chroniques), La Tronche.
Presse Medicale (Paris, France : 1983)
|March 22, 1997
Summary
Mesenteric ischemia, a serious condition, is more common in chronic hemodialysis patients. Prompt intervention is crucial due to non-specific symptoms and potential severity in end-stage renal disease.
Area of Science:
- Nephrology
- Gastroenterology
- Vascular Surgery
Context:
- Mesenteric ischemia is rare in the general population.
- Chronic hemodialysis patients exhibit a higher incidence of mesenteric ischemia.
- This study highlights an increased occurrence of mesenteric ischemia in a single unit.
Purpose:
- To report four cases of non-occlusive mesenteric ischemia in chronic hemodialysis patients.
- To discuss the potential link between hemodialysis parameters and mesenteric ischemia.
- To emphasize the need for early recognition and prophylactic measures.
Summary:
- Four patients undergoing chronic hemodialysis for renal failure due to atheromatous disease presented with non-occlusive mesenteric ischemia.
- Outcomes included one death and one colectomy; two patients received prophylactic therapy.
- The condition appears more frequent in end-stage renal disease, possibly exacerbated by excessive or rapid ultrafiltration.
Impact:
- Increased awareness of mesenteric ischemia in hemodialysis patients.
- Highlights the importance of monitoring ultrafiltration rates.
- Underscores the need for prompt management of suspected mesenteric ischemia due to non-specific clinical and biological features.