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July 15, 2025Digestive Surgery

Current approaches to diagnosis and management of Acute Mesenteric Ischaemia – a scoping review

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Authors

LCLiam CostelloWDWilliam DugganMFMichael Flanagan

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Overview

Scoping review evaluates diagnostic methods and outcomes of endovascular versus open surgery for acute mesenteric ischaemia, indicating improved results with the former.

Key Points

  • Endovascular management of acute mesenteric ischaemia leads to reduced mortality rates compared to open surgery.
  • Thirty-nine studies involving 20,991 patients were analyzed to assess diagnostic and management strategies.
  • CT scans were identified as the primary diagnostic tool, with delays in diagnosis ranging from 13.9 to 48 hours.
  • Shorter hospital and ICU stays were observed in patients undergoing endovascular interventions versus those who had open surgery.

Cite This Study

Costello et al. (2025) studied this question.

synapsesocial.com/papers/689a02bce6551bb0af8cc8b7https://doi.org/10.1159/000547297
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Management of acute mesenteric ischaemia: Results of a worldwide survey2023 · 39 citations
  2. 2Incidence, diagnosis, management and outcome of acute mesenteric ischaemia: a prospective, multicentre observational study (AMESI Study)2024 · 75 citations
  3. 3Etiology is a Factor when Choosing Endovascular or Open Treatment for Acute Mesenteric Ischemia2025
  4. 4Endovascular Management of Intestinal Ischemia2024
  5. 5FACTORS AFFECTING OUTCOME OF MESENTRIC VASCULAR ISCHEMIA IN A TERTIARY CARE CENTRE2024