World Journal of Emergency Surgery (Oct 2022)
Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery
- Miklosh Bala,
- Fausto Catena,
- Jeffry Kashuk,
- Belinda De Simone,
- Carlos Augusto Gomes,
- Dieter Weber,
- Massimo Sartelli,
- Federico Coccolini,
- Yoram Kluger,
- Fikri M. Abu-Zidan,
- Edoardo Picetti,
- Luca Ansaloni,
- Goran Augustin,
- Walter L. Biffl,
- Marco Ceresoli,
- Osvaldo Chiara,
- Massimo Chiarugi,
- Raul Coimbra,
- Yunfeng Cui,
- Dimitris Damaskos,
- Salomone Di Saverio,
- Joseph M. Galante,
- Vladimir Khokha,
- Andrew W. Kirkpatrick,
- Kenji Inaba,
- Ari Leppäniemi,
- Andrey Litvin,
- Andrew B. Peitzman,
- Vishal G. Shelat,
- Michael Sugrue,
- Matti Tolonen,
- Sandro Rizoli,
- Ibrahima Sall,
- Solomon G. Beka,
- Isidoro Di Carlo,
- Richard Ten Broek,
- Chirika Mircea,
- Giovanni Tebala,
- Michele Pisano,
- Harry van Goor,
- Ronald V. Maier,
- Hans Jeekel,
- Ian Civil,
- Andreas Hecker,
- Edward Tan,
- Kjetil Soreide,
- Matthew J. Lee,
- Imtiaz Wani,
- Luigi Bonavina,
- Mark A. Malangoni,
- Kaoru Koike,
- George C. Velmahos,
- Gustavo P. Fraga,
- Andreas Fette,
- Nicola de’Angelis,
- Zsolt J. Balogh,
- Thomas M. Scalea,
- Gabriele Sganga,
- Michael D. Kelly,
- Jim Khan,
- Philip F. Stahel,
- Ernest E. Moore
Affiliations
- Miklosh Bala
- Director of Acute Care Surgery and Trauma Unit, Department of General Surgery, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem Kiriat Hadassah
- Fausto Catena
- General and Emergency Surgery Department, Bufalini Hospital
- Jeffry Kashuk
- Tel Aviv Sackler School of Medicine
- Belinda De Simone
- Department of General, Digestive and Metabolic Minimally Invasive Surgery, Centre Hospitalier Intercommunal De Poissy/St Germain en Laye
- Carlos Augusto Gomes
- Department of Surgery, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Hospital Universitário Terezinha de Jesus
- Dieter Weber
- Department of General Surgery, Royal Perth Hospital, The University of Western Australia
- Massimo Sartelli
- Department of Surgery, Macerata Hospital
- Federico Coccolini
- Department of General, Emergency and Trauma Surgery, Pisa University Hospital
- Yoram Kluger
- Department of General Surgery, Rambam Health Care Campus
- Fikri M. Abu-Zidan
- Department of Surgery, College of Medicine and Health Sciences, United Arab Emirates University
- Edoardo Picetti
- Department of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Parma
- Luca Ansaloni
- Department of Surgery, Fondazione IRCCS Policlinico San Matteo, University of Pavia
- Goran Augustin
- Department of Surgery, University Hospital Centre Zagreb
- Walter L. Biffl
- Division of Trauma/Acute Care Surgery, Scripps Clinic Medical Group
- Marco Ceresoli
- Emergency and General Surgery Department, School of Medicine and Surgery, University of Milano-Bicocca
- Osvaldo Chiara
- Emergency Department, Niguarda Ca’Granda Hospital
- Massimo Chiarugi
- Department of General, Emergency and Trauma Surgery, Pisa University Hospital
- Raul Coimbra
- CECORC Research Center, Riverside University Health System, Loma Linda University
- Yunfeng Cui
- Department of Surgery, Nankai Clinical School of Medicine, Tianjin Nankai Hospital, Tianjin Medical University
- Dimitris Damaskos
- Department of Surgery, Royal Infirmary of Edinburgh
- Salomone Di Saverio
- General Surgery Department Hospital of San Benedetto del Tronto
- Joseph M. Galante
- Division of Trauma and Acute Care Surgery, Department of Surgery, University of California Davis
- Vladimir Khokha
- Department of Emergency Surgery, City Hospital
- Andrew W. Kirkpatrick
- General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre
- Kenji Inaba
- Division of Trauma and Surgical Critical Care, Department of Surgery, University of Southern California
- Ari Leppäniemi
- Abdominal Center, Helsinki University Hospital and University of Helsinki
- Andrey Litvin
- Department of Surgical Disciplines, Regional Clinical Hospital, Immanuel Kant Baltic Federal University
- Andrew B. Peitzman
- Department of Surgery, University of Pittsburgh School of Medicine, UPMC-Presbyterian
- Vishal G. Shelat
- Department of General Surgery, Tan Tock Seng Hospital
- Michael Sugrue
- Donegal Clinical Research Academy Emergency Surgery Outcome Project, Letterkenny University Hospital
- Matti Tolonen
- Abdominal Center, Helsinki University Hospital and University of Helsinki
- Sandro Rizoli
- Surgery Department, Section of Trauma Surgery, Hamad General Hospital (HGH)
- Ibrahima Sall
- General Surgery Department, Military Teaching Hospital
- Solomon G. Beka
- Ethiopian Air Force Hospital
- Isidoro Di Carlo
- Department of Surgical Sciences and Advanced Technologies, General Surgery Cannizzaro Hospital, University of Catania
- Richard Ten Broek
- Department of Surgery, Radboud University Medical Center
- Chirika Mircea
- Centre Hospitalier Universitaire Grenoble Alpes
- Giovanni Tebala
- Department of Digestive and Emergency Surgery, S.Maria Hospital Trust
- Michele Pisano
- General and Emergency Surgery, ASST Papa Giovanni XXIII
- Harry van Goor
- Department of Surgery, Radboud University Medical Center
- Ronald V. Maier
- Harborview Medical Center, University of Washington School of Medicine
- Hans Jeekel
- Department of Surgery, Erasmus University Medical Centre
- Ian Civil
- Faculty of Medical and Health Sciences, University of Auckland
- Andreas Hecker
- Emergency Medicine Department of General and Thoracic Surgery, University Hospital of Giessen
- Edward Tan
- Department of Surgery, Radboud University Medical Center
- Kjetil Soreide
- HPB Unit, Department of Gastrointestinal Surgery, Stavanger University Hospital
- Matthew J. Lee
- Department of Oncology and Metabolism, University of Sheffield
- Imtiaz Wani
- Government Gousia Hospital
- Luigi Bonavina
- Department of Surgery, IRCCS Policlinico San Donato, University of Milano
- Mark A. Malangoni
- Case Western Reserve University School of Medicine
- Kaoru Koike
- Kyoto Medical Center
- George C. Velmahos
- Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital
- Gustavo P. Fraga
- Division of Trauma Surgery, School of Medical Sciences, University of Campinas (Unicamp)
- Andreas Fette
- Pediatric Surgery, Children’s Care Center, SRH Klinikum Suhl
- Nicola de’Angelis
- Unit of Digestive and HPB Surgery, Faculty of Medicine, University of Paris
- Zsolt J. Balogh
- John Hunter Hospital and University of Newcastle
- Thomas M. Scalea
- Cowley Shock Trauma Center at the University of Maryland
- Gabriele Sganga
- Emergency Surgery and Trauma, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore
- Michael D. Kelly
- Department of General Surgery, Albury Hospital
- Jim Khan
- University of Portsmouth, Portsmouth Hospitals University NHS Trust
- Philip F. Stahel
- College of Osteopathic Medicine, Rocky Vista University
- Ernest E. Moore
- Ernest E Moore Shock Trauma Center at Denver Health, University of Colorado
- DOI
- https://doi.org/10.1186/s13017-022-00443-x
- Journal volume & issue
-
Vol. 17,
no. 1
pp. 1 – 17
Abstract
Abstract Acute mesenteric ischemia (AMI) is a group of diseases characterized by an interruption of the blood supply to varying portions of the intestine, leading to ischemia and secondary inflammatory changes. If untreated, this process may progress to life-threatening intestinal necrosis. The incidence is low, estimated at 0.09–0.2% of all acute surgical admissions, but increases with age. Although the entity is an uncommon cause of abdominal pain, diligence is required because if untreated, mortality remains in the range of 50%. Early diagnosis and timely surgical intervention are the cornerstones of modern treatment to reduce the high mortality associated with this entity. The advent of endovascular approaches in parallel with modern imaging techniques is evolving and provides new treatment options. Lastly, a focused multidisciplinary approach based on early diagnosis and individualized treatment is essential. Thus, we believe that updated guidelines from World Society of Emergency Surgery are warranted, in order to provide the most recent and practical recommendations for diagnosis and treatment of AMI.
Keywords
- Mesenteric ischemia
- Mesenteric arterial occlusion
- Mesenteric artery stenting
- Bowel ischemia
- Guidelines
- Recommendations
