INTESTINAL (MESENTERIC) VASCULOPATHY I : Acute Superior Mesenteric Arteriopathy and Venopathy - 09/09/11
Résumé |
Intestinal vasculopathy is not rare, comprising about 1 per 1000 hospital admissions.256 Despite phenomenal progress during the past quarter century in understanding the pathophysiology, natural history, and therapy of mesenteric ischemia,31, 32 acute mesenteric ischemia still has a high mortality,21, 32, 43, 263 which is directly related to diagnostic delays.74, 143 The diagnosis is frequently delayed because mesenteric ischemia typically produces subtle and nonspecific early clinical findings and develops overt and specific clinical findings only when advanced.122, 279 To educate the clinician to achieve earlier diagnosis and decreased mortality, this article and the one following provide a background description of intestinal vascular anatomy, physiology, and pathophysiology and describe the cause, clinical presentation, clinical evaluation, and therapy of intestinal vasculopathy. This article discusses the syndromes of acute superior mesenteric arteriopathy and venopathy, and the following article discusses ischemic colitis and chronic forms of mesenteric vasculopathy.
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| Address reprint requests to Mitchell S. Cappell, MD, PhD, Division of Gastroenterology, Department of Medicine, Maimonides Medical Center, Administration Building, 4th Floor, 4802 Tenth Avenue, Brooklyn, NY 11219 |
Vol 27 - N° 4
P. 783-825 - décembre 1998 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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