Intestinal ischemia - the basics
Abstract
Introduction In this review the physiology of the intestinal circulation of importance for the understanding of intestinal ischemia is briefly outlined.Perspectives The potential threat of massive intestinal vasoconstriction causing nonocclusive intestinal ischemia is discussed, as is the clinical importance of the reperfusion component of the ischemic injury. The clinical causes of intestinal ischemia are outlined. The delay in the usual clinical diagnostic process and its severe consequences are emphasized. Emphasis is made to discuss the special situation with sigmoid gangrene following surgery for ruptured aortic aneurysm. Laparotomy upon clinical suspicion of intestinal ischemia is generally recommended. The various therapeutic surgical measures available if diagnosis is made before massive intestinal gangrene are discussed.
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Mesenteric ischemia does not occur until patient's mean arterial pressure goes below 45 mmHg.
“Mesenteric ischemia does not occur until the blood supply is reduced by more than 50%[17] or patient’s mean arterial pressure does not go below 45 mmHg[18].”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [18]
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Pitfalls in medicine: pain out of proportion to examination findings
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Mesenteric ischemia in a patient with Buerger's disease: MDCT findings.
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Ischemia in equine intestine – mechanisms of injury and methods of treatment
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Mesenterialischämie nach herzchirurgischen Eingriffen
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- Authors
- Haglund, U., & Bergqvist, D.
- Affiliations
- Uppsala University Hospital (SE)
- ORCID
- Bergqvist, David
- Venue
- Langenbeck's Archives of Surgery
- Published
- 1999-06-16
- Volume
- 384
- Issue
- 3
- Pages
- 233-238
- ISSN
- 0023-8236 (ISSN-L)
- 1435-2443
- 1435-2451
- OpenAlex
- W2008588984
- Cited by
- 126
- References
- 25
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 5 · 2021: 9 · 2020: 5 · 2019: 2 · 2018: 8 · 2017: 4 · 2016: 8 · 2015: 5 · 2014: 9 · 2013: 3 · 2012: 4
- FWCI
- 1.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Langenbeck s Archives of Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Surgery › Intestinal and Peritoneal Adhesions
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Thrombus and Embolism
- Keywords
- intestinal ischemia, intestinal circulation, nonocclusive mesenteric ischemia, ischemia-reperfusion injury, delayed diagnosis, ruptured aortic aneurysm, laparotomy
- MeSH terms
- Aortic Aneurysm, Aortic Rupture, Gangrene, Humans, Intestines, Ischemia, Mesenteric Vascular Occlusion, Postoperative Complications, Reoperation, Colon, Sigmoid, Vasoconstriction, Reperfusion Injury, Colitis, Ischemic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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