ESTES guidelines: acute mesenteric ischaemia
| Autor: | Isabel M. Martínez, L. A. B. Barco, Andrea Casamassima, A. Shamiyeh, Hakan Yanar, Martijn Poeze, Jonathan Tilsed, A. J. G. D’Almeida, S. U. Sierra, S. Hilario, M. Mahir Ozmen, Luis Filipe Pinheiro, Hayato Kurihara, J. Pereira, F. T. Fuentes, M. Ceolin, Fawzi Al-Ayoubi, G. Triantos, Diego Mariani, L. Ponchietti, A. L. Olavarria, Kjetil Søreide |
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| Přispěvatelé: | Genel Cerrahi, Surgery, MUMC+: NAZL en ROAZ (9), MUMC+: MA Heelkunde (9), RS: NUTRIM - R2 - Gut-liver homeostasis, Intensive Care |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Sports medicine
health care facilities manpower and services HYDROXYETHYL STARCH Disease 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine law.invention 0302 clinical medicine Randomized controlled trial law Diagnosis Medicine Orthopedics and Sports Medicine health care economics and organizations DAMAGE CONTROL SURGERY Anti-Bacterial Agents Practice Guidelines as Topic SURGICAL-MANAGEMENT Emergency Medicine 030211 gastroenterology & hepatology Symptom Assessment Vascular Surgical Procedures VENOUS THROMBOSIS medicine.medical_specialty Acute mesenteric ischaemia Guidelines VEIN-THROMBOSIS Risk Assessment ACUTE INTESTINAL ISCHEMIA Acute ischemia 03 medical and health sciences Emergency surgery Early Medical Intervention Intervention (counseling) Multidetector Computed Tomography Humans COMPUTED-TOMOGRAPHY cardiovascular diseases Intensive care medicine Bowel infarction business.industry Clinical management Oxygen Inhalation Therapy Anticoagulants EARLY-DIAGNOSIS Intestinal necrosis medicine.disease ESTES Guideline Early Diagnosis Mesenteric Ischemia RISK-FACTORS Fluid Therapy Surgery PERIOPERATIVE MORTALITY business |
| Zdroj: | European Journal of Trauma and Emergency Surgery Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid Consejería de Sanidad de la Comunidad de Madrid European Journal of Trauma and Emergency Surgery, 42(2), 253-270. Springer |
| ISSN: | 1863-9933 |
| DOI: | 10.1007/s00068-016-0634-0 |
| Popis: | PURPOSE: Acute mesenteric ischaemia (AMI) accounts for about 1:1000 acute hospital admissions. Untreated, AMI will cause mesenteric infarction, intestinal necrosis, an overwhelming inflammatory response and death. Early intervention can halt and reverse this process leading to a full recovery, but the diagnosis of AMI is difficult and failure to recognize AMI before intestinal necrosis has developed is responsible for the high mortality of the disease. Early diagnosis and prompt treatment are the goals of modern therapy, but there are no randomized controlled trials to guide treatment and the published literature contains a high ratio of reviews to original data. Much of that data comes from case reports and often small, retrospective series with no clearly defined treatment criteria. METHODS: A study group of the European Society for Trauma and Emergency Surgery (ESTES) was formed in 2013 with the aim of developing guidelines for the management of AMI. A comprehensive literature search was performed using the Medical Subject Heading (MeSH) thesaurus keywords "mesenteric ischaemia", "bowel ischaemia" and "bowel infarction". The bibliographies of relevant articles were screened for additional publications. After an initial systematic review of the literature by the whole group, a steering group formulated questions using a modified Delphi process. The evidence was then reviewed to answer these questions, and recommendations formulated and agreed by the whole group. RESULTS: The resultant recommendations are presented in this paper. CONCLUSIONS: The aim of these guidelines is to provide recommendations for practice that will lead to improved outcomes for patients. |
| Databáze: | OpenAIRE |
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