ReviewVisceral medicine2018
The Ongoing Challenge of Acute Mesenteric Ischemia.
Review in Visceral medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.
- Vasoactive agents in acute mesenteric ischaemia in critical care. A systematic review.F1000Research · 2021Pooled it
- Immediate postoperative parenteral anticoagulant therapy in patients with mesenteric ischemia after intestinal resection: a retrospective cohort study at a single institute.BMC gastroenterology · 2023Trial
- Operative Management of Acute Mesenteric Venous Thrombosis With Extensive Intestinal Ischemia: A Case Report.Cureus · 2025Article
- Tricky acute mesenteric ischemia: what can we do?Gastroenterology report · 2025Review
- Iodine density mapping for the diagnosis of acute bowel ischemia using fast kV-switching dual-energy CT.Abdominal radiology (New York) · 2024Article
- Establishment of an acute arterial mesenteric ischaemia model in canines with an endovascular approach.Frontiers in veterinary science · 2024Article
- Outcome of laparotomy and conservative treatment of patients with acute mesenteric venous ischemia with viable bowel.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Research of Importance of Thiol, CRP and Lactate in Diagnosing Mesenteric Ischemia At An Early Stage: Animal Model.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- Antibiotic use in acute mesenteric ischemia: a review of the evidence and call to action.Thrombosis journal · 2023Review
- Superior mesenteric artery embolism after radiofrequency ablation in regularly anticoagulated patients with paroxysmal atrial fibrillation: a case report.BMC cardiovascular disorders · 2023Article
- Short-Term Outcomes and Risk Factors of In-Hospital Mortality in Patients Suffering Acute Mesenteric Ischemia after Cardiac Surgery: Role of Opioids and Lactic Acid.Journal of clinical medicine · 2023Article
- Gastrointestinal Ultrasound in Emergency Setting.Journal of clinical medicine · 2023Review
- FAR Ratio as Prognostic Biomarker in AMI.SN comprehensive clinical medicine · 2023Article
- Visible near-infrared hyperspectral imaging and supervised classification for the detection of small intestinal necrosis tissue in vivo.Biomedical optics express · 2022Article
- Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery.World journal of emergency surgery : WJES · 2022Review
- Association of Serum Creatinine Level with Prognosis of Laparotomy for Acute Mesenteric Ischemia after Cardiovascular Surgery.Surgery research and practice · 2022Article
- Ischemic bowel disease in 2021.World journal of gastroenterology · 2021Review
- Concealed mesenteric ischemia after total knee arthroplasty: A case report.World journal of clinical cases · 2021Article
- Many faces of acute bowel ischemia: overview of radiologic staging.Insights into imaging · 2021Review
- Early Surgical Intervention Improves Survival in Acute Intestinal Ischemia in the Intensive Care Unit.BioMed research international · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe lethality of acute mesenteric ischemia (AMI) remains quite high with 50-70%. The main reasons for that are the fact that AMI is rarely taken into consideration by the differential diagnosis of acute abdomen, the time-consuming diagnostic process, and the lack of a standardized therapeutic concept. The present interdisciplinary review aims to increase awareness among physicians and to help improve clinical outcomes.
methodsThis clinical therapeutic review is based on author expertise as well as a selective literature survey in PubMed based on the term 'mesenteric ischemia', combined with the terms 'arterial', 'clinical presentation', 'diagnosis', 'therapy', 'surgery', and 'interventional radiology'. Based on these search results as well as on the guidelines of the German Society of Vascular Surgery, the American College of Cardiology, and the American Heart Association, we present an interdisciplinary treatment concept.
resultsAMI is a vascular emergency that can be successfully treated only within the first hours after the onset of symptoms. Computed tomography angiography is the diagnostic method of choice. Intensive care unit treatment can prevent the occurrence of multiple organ failure. Treatment primarily consists of the revascularization of the mesenteric arteries. Endovascular techniques should be given priority, whereas signs of peritonitis or a central arterial occlusion with high thrombus load primarily require a surgical approach in order to save time and increase patient safety. Additional bowel resections can play a significant role in the treatment of intestinal sepsis.
conclusionPrompt and goal-oriented diagnosis and consistent treatment of AMI within 4-6 h from the onset of symptoms can be decisive for the reduction of AMI-associated lethality. In order for this to happen, a standardized concept of emergency treatment needs to be implemented.
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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.