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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2015, Number 1

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Rev Mex Angiol 2015; 43 (1)

Isquemia mesentérica. Estrategia actual

Sigler-Morales L, Gutiérrez-Carreño R, Mendieta-Hernández M, Sánchez-Fabela C, Lizola-Margolis RI, Uribe-González G

Language: Spanish
References: 59
Page: 14-23
PDF size: 479.49 Kb.


ABSTRACT

Intestinal ischemia is the result of diminished blood supply to the splacnic area irrigated by the superior and inferior mesenteric arteries, from acute or chronic obstructive causes, or severe vasospasm by different causes. Also can be originated by venous thrombosis of the mesenteric or the portal vein. When the affected area is the one irrigated by the inferior mesenteric artery ischemic colitis is developed. These conditions are more frequent in ancient people with several morbidities. The predominant symptom is abdominal pain that can be acute and progressive or as in the chronic obstruction that appears after meals and patients are afraid of eating and lose weight. Clinical history and examination are the beginning of immediate studies to exclude cardiac pathology or other intra-abdominal condition. The best accepted study is a computerized tomography of the abdomen. If the patient has signs of an acute abdomen should be explored surgically as soon as possible. Otherwise a team must be structured with general surgeons, vascular and endovascular surgeons or some other expert in endovascular procedures. It must be considered that if there is not a satisfactory result patients may need a hybrid procedure and even an intestinal resection. Despite the recent advances these conditions still have a high mortality.


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