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

doi:10.1186/s13017-022-00443-x

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

^*Corresponding author for this work

Neurosciences

Hebrew University of Jerusalem
Ospedale M. Bufalini
Tel Aviv University
CHI de Poissy-St-Germain-en-Laye
Hospital Universitário Terezinha de Jesus
University of Western Australia
Macerata Hospital
University of Pisa
Rambam Health Care Campus
United Arab Emirates University
University of Parma
University of Pavia
University of Zagreb
Scripps Clinic
University of Milan - Bicocca
Asst Grande Ospedale Metropolitano Niguarda
Loma Linda University Health
Tianjin Medical University
University of Edinburgh
Hospital of San Benedetto del Tronto
University of California at Davis
City Hospital
Foothills Medical Centre
University of Southern California
Helsinki University Central Hospital
Immanuel Kant Baltic Federal University
University of Pittsburgh
Tan Tock Seng Hospital
Mid-Western Regional Hospital Limerick
Hamad Medical Corporation
Military Teaching Hospital
Ethiopian Air Force Hospital
University of Catania
Radboud University Medical Center
CHU de Grenoble
Azienda Ospedaliera S. Maria di Terni
Papa Giovanni XXIII Hospital
University of Washington
The University of Auckland
Justus Liebig University Giessen
Stavanger University Hospital
University of Sheffield
Government Gousia Hospital
University of Milan
Case Western Reserve University School of Medicine
National Hospital Organization, Japan
Massachusetts General Hospital
Universidade Estadual de Campinas
SRH Klinikum Suhl
Université Paris Cité
Hunter New England Health
University of Maryland, Baltimore
Agostino Gemelli University Hospital Foundation IRCCS
University of New South Wales
University of Portsmouth
Rocky Vista University
University of Colorado Denver

Research output: Contribution to journal › Review article › Academic › peer-review

252 Citations (Scopus)

91 Downloads (Pure)

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.

Original language	English
Article number	54
Journal	World Journal of Emergency Surgery
Volume	17
Issue number	1
DOIs	https://doi.org/10.1186/s13017-022-00443-x
Publication status	Published - 19 Oct 2022

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s13017-022-00443-xFinal published version, 0.98 MBLicence: CC BY

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Bala, M., Catena, F., Kashuk, J., De Simone, B., Gomes, C. A., Weber, D., Sartelli, M., Coccolini, F., Kluger, Y., Abu-Zidan, F. M., Picetti, E., Ansaloni, L., Augustin, G., Biffl, W. L., Ceresoli, M., Chiara, O., Chiarugi, M., Coimbra, R., Cui, Y., ... Moore, E. E. (2022). Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery. World Journal of Emergency Surgery, 17(1), Article 54. https://doi.org/10.1186/s13017-022-00443-x

@article{0f73667dd96a4ad48624d7e8861df8af,

title = "Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery",

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.",

author = "Miklosh Bala and Fausto Catena and Jeffry Kashuk and \{De Simone\}, Belinda and Gomes, \{Carlos Augusto\} and Dieter Weber and Massimo Sartelli and Federico Coccolini and Yoram Kluger and Abu-Zidan, \{Fikri M.\} and Edoardo Picetti and Luca Ansaloni and Goran Augustin and Biffl, \{Walter L.\} and Marco Ceresoli and Osvaldo Chiara and Massimo Chiarugi and Raul Coimbra and Yunfeng Cui and Dimitris Damaskos and \{Di Saverio\}, Salomone and Galante, \{Joseph M.\} and Vladimir Khokha and Kirkpatrick, \{Andrew W.\} and Kenji Inaba and Ari Lepp{\"a}niemi and Andrey Litvin and Peitzman, \{Andrew B.\} and Shelat, \{Vishal G.\} and Michael Sugrue and Matti Tolonen and Sandro Rizoli and Ibrahima Sall and Beka, \{Solomon G.\} and \{Di Carlo\}, Isidoro and \{Ten Broek\}, Richard and Chirika Mircea and Giovanni Tebala and Michele Pisano and \{van Goor\}, Harry and Maier, \{Ronald V.\} and Hans Jeekel and Ian Civil and Andreas Hecker and Edward Tan and Kjetil Soreide and Lee, \{Matthew J.\} and Imtiaz Wani and Luigi Bonavina and Malangoni, \{Mark A.\} and Kaoru Koike and Velmahos, \{George C.\} and Fraga, \{Gustavo P.\} and Andreas Fette and Nicola de{\textquoteright}Angelis and Balogh, \{Zsolt J.\} and Scalea, \{Thomas M.\} and Gabriele Sganga and Kelly, \{Michael D.\} and Jim Khan and Stahel, \{Philip F.\} and Moore, \{Ernest E.\}",

note = "Publisher Copyright: {\textcopyright} 2022, The Author(s).",

year = "2022",

month = oct,

day = "19",

doi = "10.1186/s13017-022-00443-x",

language = "English",

volume = "17",

journal = "World Journal of Emergency Surgery",

issn = "1749-7922",

publisher = "BioMed Central Ltd.",

number = "1",

}

Bala, M, Catena, F, Kashuk, J, De Simone, B, Gomes, CA, Weber, D, Sartelli, M, Coccolini, F, Kluger, Y, Abu-Zidan, FM, Picetti, E, Ansaloni, L, Augustin, G, Biffl, WL, Ceresoli, M, Chiara, O, Chiarugi, M, Coimbra, R, Cui, Y, Damaskos, D, Di Saverio, S, Galante, JM, Khokha, V, Kirkpatrick, AW, Inaba, K, Leppäniemi, A, Litvin, A, Peitzman, AB, Shelat, VG, Sugrue, M, Tolonen, M, Rizoli, S, Sall, I, Beka, SG, Di Carlo, I, Ten Broek, R, Mircea, C, Tebala, G, Pisano, M, van Goor, H, Maier, RV, Jeekel, H, Civil, I, Hecker, A, Tan, E, Soreide, K, Lee, MJ, Wani, I, Bonavina, L, Malangoni, MA, Koike, K, Velmahos, GC, Fraga, GP, Fette, A, de’Angelis, N, Balogh, ZJ, Scalea, TM, Sganga, G, Kelly, MD, Khan, J, Stahel, PF & Moore, EE 2022, 'Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery', World Journal of Emergency Surgery, vol. 17, no. 1, 54. https://doi.org/10.1186/s13017-022-00443-x

TY - JOUR

T1 - Acute mesenteric ischemia

T2 - updated guidelines of the World Society of Emergency Surgery

AU - Bala, Miklosh

AU - Catena, Fausto

AU - Kashuk, Jeffry

AU - De Simone, Belinda

AU - Gomes, Carlos Augusto

AU - Weber, Dieter

AU - Sartelli, Massimo

AU - Coccolini, Federico

AU - Kluger, Yoram

AU - Abu-Zidan, Fikri M.

AU - Picetti, Edoardo

AU - Ansaloni, Luca

AU - Augustin, Goran

AU - Biffl, Walter L.

AU - Ceresoli, Marco

AU - Chiara, Osvaldo

AU - Chiarugi, Massimo

AU - Coimbra, Raul

AU - Cui, Yunfeng

AU - Damaskos, Dimitris

AU - Di Saverio, Salomone

AU - Galante, Joseph M.

AU - Khokha, Vladimir

AU - Kirkpatrick, Andrew W.

AU - Inaba, Kenji

AU - Leppäniemi, Ari

AU - Litvin, Andrey

AU - Peitzman, Andrew B.

AU - Shelat, Vishal G.

AU - Sugrue, Michael

AU - Tolonen, Matti

AU - Rizoli, Sandro

AU - Sall, Ibrahima

AU - Beka, Solomon G.

AU - Di Carlo, Isidoro

AU - Ten Broek, Richard

AU - Mircea, Chirika

AU - Tebala, Giovanni

AU - Pisano, Michele

AU - van Goor, Harry

AU - Maier, Ronald V.

AU - Jeekel, Hans

AU - Civil, Ian

AU - Hecker, Andreas

AU - Tan, Edward

AU - Soreide, Kjetil

AU - Lee, Matthew J.

AU - Wani, Imtiaz

AU - Bonavina, Luigi

AU - Malangoni, Mark A.

AU - Koike, Kaoru

AU - Velmahos, George C.

AU - Fraga, Gustavo P.

AU - Fette, Andreas

AU - de’Angelis, Nicola

AU - Balogh, Zsolt J.

AU - Scalea, Thomas M.

AU - Sganga, Gabriele

AU - Kelly, Michael D.

AU - Khan, Jim

AU - Stahel, Philip F.

AU - Moore, Ernest E.

PY - 2022/10/19

Y1 - 2022/10/19

N2 - 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.

AB - 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.

UR - https://www.scopus.com/pages/publications/85140233932

U2 - 10.1186/s13017-022-00443-x

DO - 10.1186/s13017-022-00443-x

M3 - Review article

C2 - 36261857

AN - SCOPUS:85140233932

SN - 1749-7922

VL - 17

JO - World Journal of Emergency Surgery

JF - World Journal of Emergency Surgery

IS - 1

M1 - 54

ER -

Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery

Abstract

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