Surgical Management Approaches of Acute Mesenteric Ischemia: A Review

Ahmed sultan almekhlafi, Nawaf hassan fatani, Abdulaziz aiman neazy, Abrar jamal tawakoul, Tariq faruq kurdi

Abstract: Acute mesenteric ischemia (AMI) is an unusual however highly lethal vascular emergency situation, in which intense intestinal ischemia or even infarction may take place if efficient treatment is not supplied immediately. High mortality rates of 30% to 65% have been reported in a number of big scientific series in the past years. The aim of this study was to discuss the surgical management of AMI, also we intended to overview the diagnostic procedures, and mortality and morbidity associated with surgical treatment outcomes. A comprehensive search was conducted through: PubMed/Midline, of the English-language published literature containing human subject, using the terms ‘‘acute’’ and ‘‘mesenteric’’ or ‘‘mesentery,’’ AND “surgical management” or treatment” was performed to identify all articles reporting AMI treated surgical procedures between up to December 2016. Our evaluation of relevant literature found that the conventional management of AMI was open surgical technique, particularly for those presenting emergently with an intense abdominal area. However, the mortality and intestinal resection rate of OS stays high, despite improvements in medical diagnosis and surgical strategy. Endovascular treatment appears to have a higher rate of bowel conservation as well as increased survival and lower problem rate compared with OS, and as such is a good option for treating AMI. Keywords: Acute mesenteric ischemia (AMI), mesentery, surgical management, treatment, surgical technique. Title: Surgical Management Approaches of Acute Mesenteric Ischemia: A Review Author: Ahmed sultan almekhlafi, Nawaf hassan fatani, Abdulaziz aiman neazy, Abrar jamal tawakoul, Tariq faruq kurdi International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Research Publish Journals

Vol. 4, Issue 2, October 2016 – March 2017

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Surgical Management Approaches of Acute Mesenteric Ischemia: A Review by Ahmed sultan almekhlafi, Nawaf hassan fatani, Abdulaziz aiman neazy, Abrar jamal tawakoul, Tariq faruq kurdi