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Management of acute mesenteric ischaemia: Results of a worldwide survey
Clinical Nutrition ESPEN, 54 (2023); 194-205. https://doi.org/10.1016/j.clnesp.2022.12.022
(ESPEN Special Interest Group on Acute Intestinal Failure ESPEN (European Society for Clinical Nutrition and Metabolism)) Hess, Benjamin; Cahenzli, Martin; Forbes, Alastair; Burgos, Rosa; Coccolini, Federico; Corcos, Olivier; Holst, Mette; Irtun, Øivind; Klek, Stanislaw; Pironi, Loris; Rasmussen, Henrik Højgaard; Serlie, Mireille J.; Thibault, Ronan; Gabe, Simon; Reintam Blaser, Annika Više autora...

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Hess, B., Cahenzli, M., Forbes, A., Burgos, R., Coccolini, F., Corcos, O. ... Reintam Blaser, A. (2023). Management of acute mesenteric ischaemia: Results of a worldwide survey. Clinical Nutrition ESPEN, 54., 194-205. doi: 10.1016/j.clnesp.2022.12.022

Hess, Benjamin, et al. "Management of acute mesenteric ischaemia: Results of a worldwide survey." Clinical Nutrition ESPEN, vol. 54, 2023, str. 194-205. https://doi.org/10.1016/j.clnesp.2022.12.022

Hess, Benjamin, Martin Cahenzli, Alastair Forbes, Rosa Burgos, Federico Coccolini, Olivier Corcos, Mette Holst, et al. "Management of acute mesenteric ischaemia: Results of a worldwide survey." Clinical Nutrition ESPEN 54 (2023): 194-205. https://doi.org/10.1016/j.clnesp.2022.12.022

Hess, B., et al. (2023) 'Management of acute mesenteric ischaemia: Results of a worldwide survey', Clinical Nutrition ESPEN, 54, str. 194-205. doi: 10.1016/j.clnesp.2022.12.022

Hess B, Cahenzli M, Forbes A, Burgos R, Coccolini F, Corcos O, i sur.. Management of acute mesenteric ischaemia: Results of a worldwide survey. Clinical Nutrition ESPEN [Internet]. 04.2023. [pristupljeno 15.07.2024.];54:194-205. doi: 10.1016/j.clnesp.2022.12.022

B. Hess, et al., "Management of acute mesenteric ischaemia: Results of a worldwide survey", Clinical Nutrition ESPEN, vol. 54, str. 194-205, Travanj 2023. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:105:153652. [Citirano: 15.07.2024.]

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Naslov (engleski)Management of acute mesenteric ischaemia: Results of a worldwide survey
AutorBenjamin Hess
AutorMartin Cahenzli
AutorAlastair Forbes
AutorRosa Burgos
AutorFederico Coccolini
AutorOlivier Corcos
AutorMette Holst
AutorØivind Irtun
AutorStanislaw Klek
AutorLoris Pironi
AutorHenrik Højgaard Rasmussen
AutorMireille J. Serlie
AutorRonan Thibault
AutorSimon Gabe
AutorAnnika Reintam Blaser
KolaboracijaESPEN Special Interest Group on Acute Intestinal Failure ESPEN (European Society for Clinical Nutrition and Metabolism)
Autorova ustanovaSveučilište u Zagrebu
Medicinski fakultet
(KATEDRA ZA KIRURGIJU)
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Kirurgija
Sažetak (engleski)
Background: Acute mesenteric ischaemia (AMI) is a condition with high mortality. This survey assesses current attitudes and practices to manage AMI worldwide. Methods: A questionnaire survey about the practices of diagnosing and managing AMI, endorsed by several specialist societies, was sent to different medical specialists and hospitals worldwide. Data from individual health care professionals and from medical teams were collected. Results: We collected 493 individual forms from 71 countries and 94 team forms from 34 countries. Almost half of respondents were surgeons, and most of the responding teams (70%) were led by surgeons. Most of the respondents indicated that diagnosis of AMI is often delayed but rarely missed. Emergency revascularisation is often considered for patients with AMI but rarely in cases of transmural ischaemia (intestinal infarction). Responses from team hospitals with a dedicated special unit (14 team forms) indicated more aggressive revascularisation. Abdominopelvic CT-scan with intravenous contrast was suggested as the most useful diagnostic test, indicated by approximately 90% of respondents. Medical history and risk factors were thought to be more important in diagnosis of AMI without transmural ischaemia, whereas for intestinal infarction, plasma lactate concentrations and surgical exploration were considered more useful. In elderly patients, a palliative approach is often chosen over extensive bowel resection. There was a large variability in anticoagulant treatment, as well as in timing of surgery to restore bowel continuity. Conclusions: Delayed diagnosis of AMI is common despite wide availability of an adequate imaging modality, i.e. CT-scan. Large variability in treatment approaches exists, indicating the need for updated guidelines. Increased awareness and knowledge of AMI may improve current practice until more robust evidence becomes available. Adherence to the existing guidelines may help in improving differences in treatment and outcomes.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Izvorni znanstveni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaClinical Nutrition ESPEN
Brojčani podacivol. 54, str. 194-205
p-ISSN2405-4577
DOIhttps://doi.org/10.1016/j.clnesp.2022.12.022
URN:NBNurn:nbn:hr:105:153652
Datum objave publikacije2023-04
URL dokumentahttps://linkinghub.elsevier.com/retrieve/pii/S2405457722014322
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Imenovanje-Nekomercijalno-Bez prerada 4.0 međunarodna (CC BY-NC-ND 4.0)
Datum i vrijeme pohrane2024-01-09 08:54:58