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

Hebrew University of Jerusalem
General Surgery Department
Tel Aviv University
Centre Hospitalier Intercommunal De Poissy/Saint Germain en Laye
Hospital Universitário Terezinha de Jesus
The University of Western Australia
Macerata Hospital
AziendaOspedaliero-Universitaria Pisana
Department of General Surgery
College of Medicine and Health Sciences United Arab Emirates University
Department of Anesthesia and Intensive Care
University of Pavia
Clinical Hospital Center Zagreb
Scripps Clinic
University of Milano-Bicocca
Niguarda ca' Granda Hospital
Loma Linda University
Tianjin Medical University
Royal Infirmary of Edinburgh
General Surgery Department Hospital of San Benedetto del Tronto
University of California Davis
City Hospital
Regional Trauma Services Foothills Medical Centre
Keck School of Medicine of USC
Helsinki University Central Hospital
Immanuel Kant Baltic Federal University
UPMC Presbyterian
Tan Tock Seng Hospital
Letterkenny University Hospital
Hamad General Hospital
Military Teaching Hospital
President of Ethiopian Emergency Surgery Association
University of Catania
Radboud University Nijmegen Medical Center
Grenoble University Hospital
Azienda Ospedaliera S. Maria di Terni
ASST Papa Giovanni Hospital Bergamo
Department of Surgery
Erasmus MC
University of Auckland
General and Thoracic Surgery
Stavanger University Hospital
University of Sheffield
Government Gousia Hospital
University of Milan
Case Western Reserve University
National Hospital Organization Kyoto Medical Center
Massachusetts General Hospital
University of Campinas
SRH Klinikum Suhl
Université Paris Descartes-Sorbonne Paris Cité
John Hunter Hospital
Cowley Shock Trauma Center at the University of Maryland
Fondazione Policlinico Universitario A Gemelli IRCCS
Albury Hospital
University of Portsmouth
Rocky Vista University College of Osteopathic Medicine
University of Colorado Denver

Research output: Contribution to a Journal (Peer & Non Peer) › Review article › peer-review

305 Citations (Scopus)

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 - Dec 2022
Externally published	Yes

Keywords

Bowel ischemia
Guidelines
Mesenteric arterial occlusion
Mesenteric artery stenting
Mesenteric ischemia
Recommendations
World Society of Emergency Surgery

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10.1186/s13017-022-00443-x

Cite this

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{a0a4977175324b048ce573029105980c,

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{\textendash}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.",

keywords = "Bowel ischemia, Guidelines, Mesenteric arterial occlusion, Mesenteric artery stenting, Mesenteric ischemia, Recommendations, World Society of Emergency Surgery",

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 = dec,

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 - 2022/12

Y1 - 2022/12

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.

KW - Bowel ischemia

KW - Guidelines

KW - Mesenteric arterial occlusion

KW - Mesenteric artery stenting

KW - Mesenteric ischemia

KW - Recommendations

KW - World Society of Emergency Surgery

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

Keywords

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