Avtor/Urednik		Kikec, Zdenko; Gorjanc, Jurij
Naslov		Diagnostika in terapija akutne ishemije črevesja
Prevedeni naslov		Diagnosis and treatment of acute mesenteric ischaemia
Tip		članek
Vir		Gastroenterolog
Vol. in št.		Letnik 10, št. 22
Leto izdaje		2006
Obseg		str. 5-7
Jezik		slo
Abstrakt		Acute mesenteric ischaemia is an emergency clinically most often presented with severe abdominal pain followed by nausea and vomiting. It leads to bowel gangrene peritonitis and septic shock some hours after onset. Based on laboratory findings and non-invasive as well as invasive imaging diagnosis should be assessed as soon as possible. Therapeutic strategies depend on the cause of ischaemia and severity of bowel injury. Anticoagulant therapy can be used as monotherapy, but most often laparotomy and necrotic bowel resection are performed. They are followed by vasodilator papaverin infusion via angiographic catheter into the superior mesenteric artery for some days.
Izvleček		Akutna ishemija črevesja je nujno stanje, ki se običajno začne z nenadno hudo bolečino v trebuhu in nadaljuje s slabostjo ter bruhanjem. V nekaj urah nastanejo nekroza črevesja, peritonitis in septični šok. Z laboratorijskimi preiskavami in neinvazivnimi ter invazivnimi slikovnimi metodami moramo čim hitreje postaviti diagnozo. Terapija je odvisna od vzroka ishemije in obsežnosti črevesne okvare. Uporabimo lahko samo antikoagulantno zdravljenje, običajno pa je potrebna laparotomija z resekcijo nekrotičnega dela črevesa in nekajdnevna infuzija vazodilatatorja papaverina po angiografskem katetru, vstavljenem v zgornjo mezenterično arterijo.
Deskriptorji		MESENTERIC VASCULAR OCCLUSION ABDOMINAL PAIN THROMBOSIS