Sandbox:Feham: Difference between revisions

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*'''Occlusive causes'''
*'''Occlusive causes'''
*'''Embolic causes''':<ref name="pmid10917470">{{cite journal| author=Fitzgerald T, Kim D, Karakozis S, Alam H, Provido H, Kirkpatrick J| title=Visceral ischemia after cardiopulmonary bypass. | journal=Am Surg | year= 2000 | volume= 66 | issue= 7 | pages= 623-6 | pmid=10917470 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10917470  }} </ref>
*'''Embolic causes''':<ref name="pmid10917470">{{cite journal| author=Fitzgerald T, Kim D, Karakozis S, Alam H, Provido H, Kirkpatrick J| title=Visceral ischemia after cardiopulmonary bypass. | journal=Am Surg | year= 2000 | volume= 66 | issue= 7 | pages= 623-6 | pmid=10917470 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10917470  }} </ref>
*atrial fibrillation  
*Atrial fibrillation  
*cardiac arrhythmias  
*Cardiac arrhythmias  
*cardiac valvular diseases
*Cardiac valvular diseases
*infective endocarditis  
*Infective endocarditis  
*recent myocardial infarction
*Recent myocardial infarction
*ventricular aneurysm
*Ventricular aneurysm
*aortic atherosclerosis   
*Aortic atherosclerosis   
*aortic aneurysm
*Aortic aneurysm
*'''Thrombotic causes''':<ref name="pmid9746774">{{cite journal| author=Martinelli I, Mannucci PM, De Stefano V, Taioli E, Rossi V, Crosti F et al.| title=Different risks of thrombosis in four coagulation defects associated with inherited thrombophilia: a study of 150 families. | journal=Blood | year= 1998 | volume= 92 | issue= 7 | pages= 2353-8 | pmid=9746774 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9746774  }} </ref>                 
*'''Thrombotic causes''':<ref name="pmid9746774">{{cite journal| author=Martinelli I, Mannucci PM, De Stefano V, Taioli E, Rossi V, Crosti F et al.| title=Different risks of thrombosis in four coagulation defects associated with inherited thrombophilia: a study of 150 families. | journal=Blood | year= 1998 | volume= 92 | issue= 7 | pages= 2353-8 | pmid=9746774 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9746774  }} </ref>                 
*Advanced age
*Advanced age
Line 29: Line 29:
*Traumatic injury
*Traumatic injury
*Peripheral artery disease
*Peripheral artery disease
*'''Non-occlusive causes:'''
*Heart failure
*Aortic insufficiency
*Septic shock
*Vasoconstrictive drugs(e.g. Digoxin, alpha-adrenergic agonists)
*Cocaine abuse/ergot poisoning
*Hemodialysis


===Less Common Risk Factors===
===Less Common Risk Factors===

Revision as of 16:57, 16 November 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Feham Tariq, MD [2]


Overview

Mesenteric ischemia is a type of intestinal ischemia primarily affecting the small intestine. It is one of the life-threatening gastrointestinal vascular emergencies which requires prompt surgical/medical intervention depending upon the underlying cause.

Common causes in the development of mesenteric ischemia can be divided into occlusive/non-occlusive, arterial/venous, localized/generalized and superficial/transmural.[1]

Risk Factors

  • Mesenteric ischemia can be caused by any factor that can compromise the blood supply to the affected organ; either by reducing the perfusion or by promoting the formation of thromboemboli. It can be broadly classified as occlusive and non-occlusive.
  • The most potent risk factor in the development of mesenteric ischemia is superior mesenteric artery occlusion.

Common Risk Factors

  • Common risk factors in the development of mesenteric ischemia include:
  • Occlusive causes
  • Embolic causes:[2]
  • Atrial fibrillation
  • Cardiac arrhythmias
  • Cardiac valvular diseases
  • Infective endocarditis
  • Recent myocardial infarction
  • Ventricular aneurysm
  • Aortic atherosclerosis
  • Aortic aneurysm
  • Thrombotic causes:[3]
  • Advanced age
  • Low cardiac output states
  • Traumatic injury
  • Peripheral artery disease
  • Non-occlusive causes:
  • Heart failure
  • Aortic insufficiency
  • Septic shock
  • Vasoconstrictive drugs(e.g. Digoxin, alpha-adrenergic agonists)
  • Cocaine abuse/ergot poisoning
  • Hemodialysis

Less Common Risk Factors

  • Less common risk factors in the development of [disease name] include:
    • [Risk factor 1]
    • [Risk factor 2]
    • [Risk factor 3]

References

  1. Corcos O, Nuzzo A (2013). "Gastro-intestinal vascular emergencies". Best Pract Res Clin Gastroenterol. 27 (5): 709–25. doi:10.1016/j.bpg.2013.08.006. PMID 24160929.
  2. Fitzgerald T, Kim D, Karakozis S, Alam H, Provido H, Kirkpatrick J (2000). "Visceral ischemia after cardiopulmonary bypass". Am Surg. 66 (7): 623–6. PMID 10917470.
  3. Martinelli I, Mannucci PM, De Stefano V, Taioli E, Rossi V, Crosti F; et al. (1998). "Different risks of thrombosis in four coagulation defects associated with inherited thrombophilia: a study of 150 families". Blood. 92 (7): 2353–8. PMID 9746774.

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References