Surgical Management of Acute Mesenteric Ischemia; Review Article
Hashem Bark Awadh Abood *
Dr. Samir Abbas Hospital, Jeddah, King Fahad Hospital, Albaha, Saudi Arabia.
Mohammed Abduljalil Al Abdulwahhab
Imam Abdulrahman Bin Faisal University, Saudi Arabia.
Omar Essam Altayyar
Batterjee Medical College, Saudi Arabia.
Ahmad Sayyaf Alrakhimi
King Khalid General Hospital, Hafr Albatin, Saudi Arabia.
Sawsan Yaseen Abdulla Ali Isa
Alexandria Faculty of Medicine, Egypt.
Wafa Abdullah Mohammed Albati
Princess Nourah University, Saudi Arabia.
Yazed Abdullah Albogami
Alfaisal University, Saudi Arabia.
Saud Abdullrahman I Rouzi
King Abdulaziz University, Saudi Arabia.
Mohammed Tarik Alrefai
UQU, Saudi Arabia.
Reem abdulmohsen alsaeed
Arabian Gulf University, Salmaniya Medical Complex, Bahrain.
Mohammad Saleh Almarri
Department of General Surgery, Adan Hospital, Kuwait.
*Author to whom correspondence should be addressed.
Abstract
Mesenteric ischemia is a condition in which the amount of oxygen available is insufficient to meet the needs of the intestines. The small intestine, colon, or both can be affected by ischemia. The most common cause of occlusive ischemia is an abrupt obstruction of a major artery, which causes a considerable drop in intestinal blood flow. Early diagnosis is one of the most essential components in achieving a favorable outcome. The most prevalent treatment is surgical management. However, there are minimally invasive therapy alternatives that have been shown in observational studies. For arterial thrombosis, endovascular stenting is an option, and anticoagulation is an option for venous thrombosis. Endovascular aspiration, mechanical embolectomy, and local thrombolysis are all possibilities for patients with arterial embolism.
Keywords: Mesenteric ischemia, arterial embolism, surgical management, heart failure