Evidence map›Paper›PMID 28794797›Full record

ReviewWorld journal of emergency surgery : WJES2017

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

Miklosh Bala, Jeffry Kashuk, Ernest E Moore, Yoram Kluger, Walter Biffl, Carlos Augusto Gomes, Offir Ben-Ishay, Chen Rubinstein, Zsolt J Balogh, Ian Civil and 9 more

Registry-linked trialOpen access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in World journal of emergency surgery : WJES, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04688879 (Thrombolysis With Intra-arterial Urokinase for Acute Superior Mesenteric Artery Occlusion), which is not on this map. Cited by 211 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
211citing papers in PubMed, 7 pooled it
38.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04688879 completednot on this mapstarted 2020, after this paper: background citation

Thrombolysis With Intra-arterial Urokinase for Acute Superior Mesenteric Artery Occlusion: Outcome Analysis

TypeobservationalSponsorChang Gung Memorial HospitalRan2020 to 2020Enrolled13ConditionsArterial Occlusion Mesenteric Artery SuperiorArmsintra-arterial urokinase thrombolysis
3 · Its place in the literature

Who cites it

211 citing papers in PubMed, 7 syntheses or guidelines pooled it, 554 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Guideline
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Article
  10. Review
  11. Article
  12. Article
  13. The real-world management of acute mesenteric ischemia in Spain: results from a multicenter national survey.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Observational
  14. Article
  15. Fraxin as a promising molecule in the pharmacological treatment of acute mesenteric ischemia: an experimental study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Article

151 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 14 institutions in 8 countries.

Miklosh BalaAcute Care Surgery and Trauma Unit, General Surgery Department, Hadassah - Hebrew University Medical Center, Kiriat Hadassah, POB 12000, 91120 Jerusalem, Israel.
Jeffry KashukAssia Medical Group, Tel Aviv University Sackler School of Medicine, Tel Aviv, Israel.
Ernest E MooreDepartment of Surgery, Denver Health Medical Center, University of Colorado, Denver, USA.
Yoram KlugerDepartment of General Surgery, Rambam Health Care Campus, Haifa, Israel.
Walter BifflDepartment of Surgery, Queens Medical Center, Honolulu, Hi USA.
Carlos Augusto GomesFaculdade de Ciências Médicas e da Saúde de Juiz de Fora (SUPREMA), Federal University of Juiz de Fora (UFJF), Juiz de Fora, MG Brazil.
Offir Ben-IshayDepartment of General Surgery, Rambam Health Care Campus, Haifa, Israel.
Chen RubinsteinDepartment of Vascular Surgery, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Zsolt J BaloghDepartment of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW Australia.
Ian CivilDepartment of Surgery, Auckland City Hospital, Auckland, New Zealand.
Federico CoccoliniGeneral Surgery I, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Ari LeppaniemiAbdominal Center, University Hospital Meilahti, Helsinki, Finland.
Andrew PeitzmanDepartment of Surgery, UPMC, University of Pittsburgh School of Medicine, Pittsburgh, PA USA.
Luca AnsaloniGeneral Surgery I, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Michael SugrueDonegal Clinical Research Academy, Letterkenny University Hospital, Letterkenny, Ireland.
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy.
Salomone Di SaverioTrauma Surgery Unit, Maggiore Hospital, Bologna, Italy.
Gustavo P FragaDivision of Trauma Surgery, Hospital de Clinica, School of Medical Sciences, University of Campinas, Campinas, Brazil.
Fausto CatenaEmergency Department, Maggiore University Hospital, Parma, Italy.
Hadassah Medical Center · ILOspedale Papa Giovanni XXIII · ITRambam Health Care Campus · ILAuckland City Hospital · NZDenver Health Medical Center · USHerttoniemi Hospital · FIJohn Hunter Hospital · AULetterkenny University Hospital · IEOspedale di MacerataQueen's Medical Center · USTel Aviv University · ILUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal de Juiz de Fora · BRUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute mesenteric ischemia (AMI) is typically defined as a group of diseases characterized by an interruption of the blood supply to varying portions of the small intestine, leading to ischemia and secondary inflammatory changes. If untreated, this process will eventuate in life threatening intestinal necrosis. The incidence is low, estimated at 0.09-0.2% of all acute surgical admissions. Therefore, although the entity is an uncommon cause of abdominal pain, diligence is always required because if untreated, mortality has consistently been reported in the range of 50%. Early diagnosis and timely surgical intervention are the cornerstones of modern treatment and are essential to reduce the high mortality associated with this entity. The advent of endovascular approaches in parallel with modern imaging techniques may provide new options. Thus, we believe that a current position paper from World Society of Emergency Surgery (WSES) is warranted, in order to put forth the most recent and practical recommendations for diagnosis and treatment of AMI. This review will address the concepts of AMI with the aim of focusing on specific areas where early diagnosis and management hold the strongest potential for improving outcomes in this disease process. Some of the key points include the prompt use of CT angiography to establish the diagnosis, evaluation of the potential for revascularization to re-establish blood flow to ischemic bowel, resection of necrotic intestine, and use of damage control techniques when appropriate to allow for re-assessment of bowel viability prior to definitive anastomosis and abdominal closure.

Indexed as

Guidelines as TopicAbdominal PainAnti-Bacterial AgentsEmergency Medical ServicesFluid TherapyHumansIntestine, SmallMesenteric IschemiaMesenteric Vascular OcclusionNecrosisThrombosisTomography, X-Ray ComputedVascular Surgical ProceduresAnti-Bacterial AgentsGuidelinesMesenteric angiographyMesenteric arterial occlusionMesenteric artery stentingMesenteric ischemiaRecommendationsSmall bowel ischemia

Identifiers

PMID28794797
PMCPMC5545843
OpenAlexW2742337206

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.