What question did this study set out to answer?

To assess current global clinical practices, attitudes, and diagnostic approaches in managing acute mesenteric ischaemia.

January 5, 2023Clinical Nutrition ESPENOpen Access

Management of acute mesenteric ischaemia: Results of a worldwide survey

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Authors

BHBenjamin Hess MCMartin Cahenzli AFAlastair Forbes

Discussion

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Overview

Worldwide survey reveals frequent diagnostic delays and wide treatment variation in acute mesenteric ischaemia, highlighting the need for standardized guidelines.

Key Points

To assess current global clinical practices, attitudes, and diagnostic approaches in managing acute mesenteric ischaemia.
Endorsed by multiple specialist societies, an international questionnaire was distributed to individual medical specialists and multidisciplinary hospital teams worldwide.
Survey responses were collected from 493 individual clinicians across 71 countries and 94 institutional teams across 34 countries, with the majority being surgeons or surgical-led units.
Contrast-enhanced abdominopelvic CT was identified as the most useful diagnostic modality by approximately 90% of respondents, yet diagnostic delays remain widespread.
Emergency revascularisation is frequently considered for acute ischaemia but rarely applied in transmural bowel infarction, though hospitals with dedicated units pursue revascularisation more aggressively.
Substantial practice variability was documented in anticoagulant regimens, surgical timing to restore bowel continuity, and preference for palliative care over extensive resection in elderly patients.

Cite This Study

Hess et al. (2023) studied this question.

synapsesocial.com/papers/6aaa45e297e8ffc3eb2aa883 https://doi.org/10.1016/j.clnesp.2022.12.022

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January 5, 2023Clinical Nutrition ESPENOpen Access

Management of acute mesenteric ischaemia: Results of a worldwide survey

View Full Paper

Ask AI

Bookmark

Authors

BHBenjamin Hess MCMartin Cahenzli AFAlastair Forbes

Discussion

Member takes

Overview

Worldwide survey reveals frequent diagnostic delays and wide treatment variation in acute mesenteric ischaemia, highlighting the need for standardized guidelines.

Key Points

To assess current global clinical practices, attitudes, and diagnostic approaches in managing acute mesenteric ischaemia.
Endorsed by multiple specialist societies, an international questionnaire was distributed to individual medical specialists and multidisciplinary hospital teams worldwide.
Survey responses were collected from 493 individual clinicians across 71 countries and 94 institutional teams across 34 countries, with the majority being surgeons or surgical-led units.
Contrast-enhanced abdominopelvic CT was identified as the most useful diagnostic modality by approximately 90% of respondents, yet diagnostic delays remain widespread.
Emergency revascularisation is frequently considered for acute ischaemia but rarely applied in transmural bowel infarction, though hospitals with dedicated units pursue revascularisation more aggressively.
Substantial practice variability was documented in anticoagulant regimens, surgical timing to restore bowel continuity, and preference for palliative care over extensive resection in elderly patients.

Cite This Study

Hess et al. (2023) studied this question.

synapsesocial.com/papers/6aaa45e297e8ffc3eb2aa883 https://doi.org/10.1016/j.clnesp.2022.12.022

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