Mesenteric ischemia natural history, complications and prognosis: Difference between revisions

Jump to navigation Jump to search
No edit summary
Line 18: Line 18:


==Prognosis==
==Prognosis==
The prognosis depends on prompt diagnosis (less than 12-24 hours and before [[gangrene]])<ref name="pmid10784596">.</ref> and the the underlying cause<ref name="pmid">{{cite journal |author=Schoots IG, Koffeman GI, Legemate DA, Levi M, van Gulik TM |title=Systematic review of survival after acute mesenteric ischaemia according to disease aetiology |journal=The British journal of surgery |volume=91 |issue=1 |pages=17-27 |year=2004 |pmid=14716789}}</ref>:
In the case of chronic mesenteric ischemia, the outlook after a successful surgery is good. However, if appropriate lifestyle changes (such as a healthy diet and exercise) are not made, any problems with artherosclerosis will generally get worse over time.  Persons with acute mesenteric ischemia usually do poorly, since death of the intestine often occurs before surgery is done. However, when diagnosed and treated right away, patients with acute mesenteric ischemia can be treated successfully.The prognosis depends on prompt diagnosis (less than 12-24 hours and before [[gangrene]])<ref name="pmid10784596">.</ref> and the the underlying cause<ref name="pmid">{{cite journal |author=Schoots IG, Koffeman GI, Legemate DA, Levi M, van Gulik TM |title=Systematic review of survival after acute mesenteric ischaemia according to disease aetiology |journal=The British journal of surgery |volume=91 |issue=1 |pages=17-27 |year=2004 |pmid=14716789}}</ref>:
* [[venous thrombosis]] - 32% mortality
* [[venous thrombosis]] - 32% mortality
* [[arterial embolism]] - 54% mortality
* [[arterial embolism]] - 54% mortality

Revision as of 18:50, 4 September 2012

Mesenteric ischemia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Mesenteric ischemia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Guidelines for Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

MRA

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Mesenteric ischemia natural history, complications and prognosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Mesenteric ischemia natural history, complications and prognosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Mesenteric ischemia natural history, complications and prognosis

CDC on Mesenteric ischemia natural history, complications and prognosis

Mesenteric ischemia natural history, complications and prognosis in the news

Blogs on Mesenteric ischemia natural history, complications and prognosis

Directions to Hospitals Treating Mesenteric ischemia

Risk calculators and risk factors for Mesenteric ischemia natural history, complications and prognosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.

Overview

Natural History

Three progressive phases of ischemic colitis have been described:[1][2]

  • A hyperactive phase occurs first, in which the primary symptoms are severe abdominal pain and the passage of bloody stools. Many patients get better and do not progress beyond this phase.
  • A paralytic phase can follow if ischemia continues; in this phase, the abdominal pain becomes more widespread, the belly becomes more tender to the touch, and bowel motility decreases, resulting in abdominal bloating, no further bloody stools, and absent bowel sounds on exam.

Prognosis

In the case of chronic mesenteric ischemia, the outlook after a successful surgery is good. However, if appropriate lifestyle changes (such as a healthy diet and exercise) are not made, any problems with artherosclerosis will generally get worse over time. Persons with acute mesenteric ischemia usually do poorly, since death of the intestine often occurs before surgery is done. However, when diagnosed and treated right away, patients with acute mesenteric ischemia can be treated successfully.The prognosis depends on prompt diagnosis (less than 12-24 hours and before gangrene)[3] and the the underlying cause[4]:

References

  1. Boley, SJ, Brandt, LJ, Veith, FJ. Ischemic disorders of the intestines. Curr Probl Surg 1978; 15:1.
  2. Hunter G, Guernsey J (1988). "Mesenteric ischemia". Med Clin North Am. 72 (5): 1091–115. PMID 3045452.
  3. .
  4. Schoots IG, Koffeman GI, Legemate DA, Levi M, van Gulik TM (2004). "Systematic review of survival after acute mesenteric ischaemia according to disease aetiology". The British journal of surgery. 91 (1): 17–27. PMID 14716789.