Author/Editor		Kikec, Zdenko; Gorjanc, Jurij
Title		Diagnostika in terapija akutne ishemije črevesja
Translated title		Diagnosis and treatment of acute mesenteric ischaemia
Type		članek
Source		Gastroenterolog
Vol. and No.		Letnik 10, št. 22
Publication year		2006
Volume		str. 5-7
Language		slo
Abstract		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.
Summary		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.
Descriptors		MESENTERIC VASCULAR OCCLUSION ABDOMINAL PAIN THROMBOSIS