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Surgical Treatment of Mesenteric Ischaemia

Vascular and intestinal intervention for acute and chronic mesenteric ischaemia.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Surgical Treatment of Mesenteric Ischaemia?

Acute mesenteric ischaemia is most often caused by embolus to the superior mesenteric artery; chronic forms result from atherosclerotic stenosis. Diagnosis requires high clinical suspicion, CT angiography and laboratory investigation.

Surgical options include open embolectomy, mesenteric bypass, retrograde mesenteric stenting and endovascular thrombolysis. Necrotic bowel is resected with primary anastomosis or stoma.

Postoperative second-look laparotomy at 24-48 hours assesses bowel viability. Mortality is 50-80% and is closely related to early intervention; poor prognostic factors are advanced age, sepsis and extensive resection.

Symptoms

Severe abdominal pain disproportionate to examination
Nausea and vomiting
Bloody diarrhoea
Shock
Distension
Postprandial pain in chronic disease
Weight loss

Risk Factors

Atrial fibrillation
Atherosclerosis
Recent myocardial infarction
Heart failure
Hypercoagulable state
Advanced age
Smoking

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden severe abdominal pain
  • Pain disproportionate to examination
  • Bloody diarrhoea
  • Symptoms of shock
  • New atrial fibrillation

Treatment Methods

01
Open embolectomy
02
Mesenteric bypass
03
Endovascular stenting
04
Resection of necrotic bowel
05
Second-look laparotomy
06
Anticoagulation and antibiotic therapy

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Genel Cerrahi Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.