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Common Problems in Acute Care Surgery pp 343–352Cite as

Acute Mesenteric Ischemia

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Abstract

Acute mesenteric ischemia (AMI) is an uncommon yet life-threatening syndrome with a grave prognosis. Despite advancements in readily available diagnostics and improvements in the ability to care for critically ill patients, patients presenting with AMI face a mortality rate approaching 65 % [1–3]. This high predicted mortality has remained relatively unchanged over the past several decades even in the era of evolving endovascular approaches to management of AMI. While the reasons for this stubborn trend are likely multifactorial, failure of physicians to quickly recognize symptoms of AMI on presentation most likely drives these devastating outcomes. Once the diagnosis of AMI is entertained, prompt diagnostic studies and swift therapeutic interventions are essential to successful treatment. With any delay in intervention, AMI leads to bowel necrosis, inciting a cascade of both local organ injury and remote organ system dysfunction, which is most often irreversible and fatal.

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Author information

Authors and Affiliations

  1. Department of Surgery, The Methodist DeBakey Heart and Vascular Center, The Methodist Hospital, Houston, TX, USA

    Laura E. White M.D.

  2. Departments of Surgery and Cardiovascular Surgery, The Methodist Hospital Physician Organization, 6550 Fannin Street, SM 1401, Houston, TX, 77030, USA

    Heitham T. Hassoun M.D.

Authors
  1. Laura E. White M.D.
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  2. Heitham T. Hassoun M.D.
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Correspondence to Heitham T. Hassoun M.D. .

Editor information

Editors and Affiliations

  1. Science Center, Department of Surgery, The University of Texas Health, 6431 Fannin Street, MSB 4.292, Houston, 77030, Texas, USA

    Laura J. Moore

  2. The Methodist Hospital, Department of Surgery, Weill Cornell Medical College, 6550 Fannin St, SM 1661A, Houston, 77030, Texas, USA

    Krista L. Turner

  3. School of Medicine, Department of Surgery, New York University, 550 First Avenue, New Bellevue 15 East 9, New York, 10016, New York, USA

    S. Rob Todd

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White, L.E., Hassoun, H.T. (2013). Acute Mesenteric Ischemia. In: Moore, L., Turner, K., Todd, S. (eds) Common Problems in Acute Care Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6123-4_27

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  • DOI: https://doi.org/10.1007/978-1-4614-6123-4_27

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6122-7

  • Online ISBN: 978-1-4614-6123-4

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