Management of acute mesenteric ischaemia: Results of a worldwide survey

Benjamin Hess; Martin Cahenzli; Alastair Forbes; Rosa Burgos; Federico Coccolini; Olivier Corcos; Mette Holst; Øivind Irtun; Stanislaw Klek; Loris Pironi; Henrik Højgaard Rasmussen; Mireille J. Serlie; Ronan Thibault; Simon Gabe; Annika Reintam Blaser; Emrah Akin; Syed Muhammad Ali; Giulio Argenio; Semra Demirli Atici; Goran Augustin; Efstratia Baili; Lovenish Bains; Miklosh Bala; Edoardo Baldini; Oussama Baraket; Mirko Barone; Alan Biloslavo; Roberto Bini; Cristina Bombardini; Giuseppe Brisinda; Luis Buonomo; Fausto Catena; Marco Ceresoli; Maria Michela Chiarello; Christos Chouliaras; Fabrizio D'Acapito; Dimitrios Damaskos; Belinda De Simone; Daniele Delogu; Zaza Demetrashvili; Isidoro Di Carlo; Mario D'Oria; Virginia María Durán-Muñoz-Cruzado; Patrice Forget; Laura Fortuna; Pietro Fransvea; Christian Frey; Olga Gapejeva; Pierre Garcon; Jörn-Markus Gass; Ricardo Alessandro Teixeira Gonsaga; Ewen Griffiths; Kursat Gundogan; Mohan Gurjar; Hytham K.S. Hamid; Juan Ignacio Silesky Jiménez; Karri Kase; Syed Sajid Hussain Kazmi; Aristotelis Kechagias; Vladimir Khokha; Yoshiro Kobe; Dimitrios P. Korkolis; Andrey Litvin; Eftychios Lostoridis; Hans Alexander Mahendran; Fabio Marino; Andres Martinuzzi; Cristian Mesina; Vincenzo Neri; Marina Panisic; Ciro Paolillo; Nikolaos Pararas; Gennaro Perrone; Antonio Pesce; Biagio Picardi; Charlotte Pither; Mauro Podda; Tomas Poskus; Florian Poullenot; Matras Przemyslaw; Massimo Sartelli; Diego Sasia; Maximilian Scheiterle; Fotios Seretis; Kjetil Søreide; Ruslan Sydorchuk; Kinga Szczepanek; Zsolt Bodnar; Fabienne Tamion; Antonio Tarasconi; Martin Teraa; Matti Tolonen; Tim Vanuytsel; Massimiliano Veroux; Lars Vinter-Jensen; Diego Visconti; Lukas Widmer; Andee Dzulkarnaen Zakaria; Nadezhda Zubareva; Endorsing International Societies; ESICM (European Society of Intensive Care Medicine) Esicm; WSES (World Society of Emergency Surgery) Wses; WSACS (The Abdominal Compartment Society) Wsacs; In-principle support; WFICC (World Federation of Intensive and Critical Care) Wficc; ESPEN Special Interest Group on Acute Intestinal Failure ESPEN (European Society for Clinical Nutrition and Metabolism)

doi:10.1016/j.clnesp.2022.12.022

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Management of acute mesenteric ischaemia: Results of a worldwide survey

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Management of acute mesenteric ischaemia: Results of a worldwide survey

Benjamin Hess, Martin Cahenzli, Alastair Forbes, Rosa Burgos, Federico Coccolini, Olivier Corcos, Mette Holst, Øivind Irtun, Stanislaw Klek, Loris Pironi, …

Clinical nutrition ESPEN, Vol.54, pp.194-205

01/04/2023

DOI: https://doi.org/10.1016/j.clnesp.2022.12.022

PMID: 36963863

Résumé

Acute mesenteric infarction

Acute mesenteric ischaemia

Intestinal failure

NOMI (Non-occlusive mesenteric ischaemia)

Occlusive intestinal ischaemia

Survey

Treatment

Acute mesenteric ischaemia (AMI) is a condition with high mortality. This survey assesses current attitudes and practices to manage AMI worldwide. A questionnaire survey about the practices of diagnosing and managing AMI, endorsed by several specialist societies, was sent to different medical specialists and hospitals worldwide. Data from individual health care professionals and from medical teams were collected. We collected 493 individual forms from 71 countries and 94 team forms from 34 countries. Almost half of respondents were surgeons, and most of the responding teams (70%) were led by surgeons. Most of the respondents indicated that diagnosis of AMI is often delayed but rarely missed. Emergency revascularisation is often considered for patients with AMI but rarely in cases of transmural ischaemia (intestinal infarction). Responses from team hospitals with a dedicated special unit (14 team forms) indicated more aggressive revascularisation. Abdominopelvic CT-scan with intravenous contrast was suggested as the most useful diagnostic test, indicated by approximately 90% of respondents. Medical history and risk factors were thought to be more important in diagnosis of AMI without transmural ischaemia, whereas for intestinal infarction, plasma lactate concentrations and surgical exploration were considered more useful. In elderly patients, a palliative approach is often chosen over extensive bowel resection. There was a large variability in anticoagulant treatment, as well as in timing of surgery to restore bowel continuity. Delayed diagnosis of AMI is common despite wide availability of an adequate imaging modality, i.e. CT-scan. Large variability in treatment approaches exists, indicating the need for updated guidelines. Increased awareness and knowledge of AMI may improve current practice until more robust evidence becomes available. Adherence to the existing guidelines may help in improving differences in treatment and outcomes.

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Titre: Management of acute mesenteric ischaemia: Results of a worldwide survey
Créateurs - sans rôle: Benjamin Hess - Department of Intensive Care Medicine, Lucerne Cantonal Hospital, Lucerne, Switzerland
Martin Cahenzli - Department of Intensive Care Medicine, Lucerne Cantonal Hospital, Lucerne, Switzerland
Alastair Forbes - Department of Anaesthesiology and Intensive Care, University of Tartu, Tartu, Estonia
Rosa Burgos - Nutritional Support Unit, University Hospital Vall D'Hebron, Barcelona, Spain
Federico Coccolini - General, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy
Olivier Corcos - Intestinal Vascular Emergencies Structure (SURVI), Beaujon Hospital/Assistance Publique, Hopitaux de Paris, France
Mette Holst - Centre for Nutrition and Intestinal Failure, Aalborg University Hospital, Denmark
Øivind Irtun - Department of Gastrointestinal Surgery, University Hospital North Norway, Norway
Stanislaw Klek - Surgical Oncology Clinic, The Maria Sklodowska-Curie Reseach Institute of Oncology, Krakow, Poland
Loris Pironi - Department of Medical and Surgical Sciences, University of Bologna, Italy
Henrik Højgaard Rasmussen - Centre for Nutrition and Intestinal Failure, Aalborg University Hospital, Denmark
Mireille J. Serlie - Department of Endocrinology & Metabolism, Amsterdam University Medical Center, Amsterdam Gastroenterology, Endocrinology and Metabolism, Amsterdam, the Netherlands
Ronan Thibault - Université de Rennes
Simon Gabe - Lennard Jones Intestinal Rehabilitation Unit, St Mark's Hospital, London, England
Annika Reintam Blaser - Department of Intensive Care Medicine, Lucerne Cantonal Hospital, Lucerne, Switzerland
Emrah Akin - Department of General Surgery, Sakarya University Research and Educational Hospital, Sakarya, Turkey
Syed Muhammad Ali - Surgical Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
Giulio Argenio - Emergency Surgery Unit, AOU San Giovanni di Dio e Ruggi D'Aragona, University of Salerno, Salerno, Italy
Semra Demirli Atici - Department of General Surgery, University of Health Sciences Tepecik Training and Research Hospital, Izmir, Turkey
Goran Augustin - Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Efstratia Baili - First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece
Lovenish Bains - Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India
Miklosh Bala - Department of Surgery, Hadassah Medical Center, Jerusalem, Israel
Edoardo Baldini - Department of General Surgery, Ospedale Santa Maria Delle Stelle, Melzo (Milano), Italy
Oussama Baraket - Department of Surgery, Bizerte Hospital, Bizerte, Tunisia
Mirko Barone - Department of General and Oncological Surgery, SS. Annunziata University Hospital, Chieti, Italy
Alan Biloslavo - Division of Clinical Surgery, Department of Medical, Surgical and Health Sciences, Cattinara University Hospital, Trieste, Italy
Roberto Bini - General Surgery and Trauma Team, ASST Niguarda, Milano, Italy
Cristina Bombardini - Department of Morphology, Experimental Medicine and Surgery, Section of Chirurgia 1, Sant'Anna Hospital, University of Ferrara, Ferrara, Italy
Giuseppe Brisinda - UOC Chirurgia D'Urgenza e Del Trauma Fondazione Policlinico Universitario A. Gemelli IRCCS, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome, Italy
Luis Buonomo - Department of General Surgery, Hospital “Dr. Alberto Balestrini”, University of Buenos Aires, Buenos Aires, Argentina
Fausto Catena - Department General Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy
Marco Ceresoli - Department of General and Emergency Surgery, ASST, San Gerardo Hospital, Monza, Italy
Maria Michela Chiarello - Department of Surgery, General Surgery Operative Unit, San Giovanni di Dio Hospital, Crotone, Italy
Christos Chouliaras - Laparoscopic Surgery and Surgical Oncology Department, Athens Medical Group, Athens, Greece
Fabrizio D'Acapito - Department of General Surgery, Morgagni-Pierantoni Hospital, Forli, Italy
Dimitrios Damaskos - Department of Surgery, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
Belinda De Simone - Service de Chirurgie Générale, Digestive, Métabolique, Centre Hospitalier de Poissy/Saint Germain en Laye, Poissy (Ile de France), France
Daniele Delogu - Department of General Surgery, AOU Sassari, Sassari, Italy
Zaza Demetrashvili - Department of General Surgery, Kipshidze Central University Hospital, Tbilisi, Georgia
Isidoro Di Carlo - Department of Medical, Surgical Sciences and Advanced Technologies G.F. Ingrassia, Cannizaro Hospital, Catania, Italy
Mario D'Oria - Division of Vascular and Endovascular Surgery, Cardiovascular Department, University Hospital of Trieste ASUGI, Trieste, Italy
Virginia María Durán-Muñoz-Cruzado - General Surgery Department, Hospital Universitario Virgen Del Rocio, Sevilla, Spain
Patrice Forget - Institute of Applied Health Sciences, Epidemiology Group, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Department of Anaesthesia, NHS Grampian, Aberdeen Royal Infirmary, Aberdeen, United Kingdom"
Laura Fortuna - Department of General Surgery, AOU Careggi, Firenze, Italy
Pietro Fransvea - UOC Chirurgia D'Urgenza e Del Trauma, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome, Italy
Christian Frey - Zentrum für Anästhesiologie und Intensivmedizin, Hirslanden Klinik Aarau, Aarau, Switzerland
Olga Gapejeva - Department of Surgery, North Estonia Medical Centre Foundation, Tallinn, Estonia
Pierre Garcon - Department of Intensive Care Unit, GHEF Site de Marne-La-Vallée, Jossigny, France
Jörn-Markus Gass - Department of General and Abdominal Surgery, Luzerner Kantonsspital, Luzern, Switzerland
Ricardo Alessandro Teixeira Gonsaga - Department of Surgery and Trauma, Hospital Escola Padre Albino, Catanduva, Brazil
Ewen Griffiths - Department of General Surgery, Queen Elizabeth Hospital, Birmingham, United Kingdom
Kursat Gundogan - Department of Medicine, Division of Intensive Care, Erciyes University, Kayseri, Turkey
Mohan Gurjar - Department of Critical Care Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, India
Hytham K.S. Hamid - Department of General Surgery, Kuwaiti Specialized Hospital, Khartoum, Sudan
Juan Ignacio Silesky Jiménez - Department of Critical Care Unit, Hospital San Juan de Dios and Hospital CIMA, San José, Costa Rica
Karri Kase - Department of Surgery, Tartu University Hospital, Tartu, Estonia
Syed Sajid Hussain Kazmi - Department of Vascular Surgery, Division of Cardiovascular and Pulmonary Diseases, Oslo University Hospital, Oslo, Norway
Aristotelis Kechagias - Department of Gastrointestinal Surgery, Kanta-Häme Central Hospital, Hämeenlinna, Finland
Vladimir Khokha - Department of Emergency Surgery, Mozyr City Hospital, Mozyr, Belarus
Yoshiro Kobe - Department of Emergency and Critical Care Medicine, Chiba University Hospital, Chiba, Japan
Dimitrios P. Korkolis - Department of Surgery, Hellenic Anticancer Hospital “Saint Savvas”, Athens, Greece
Andrey Litvin - Department of Surgical Disciplines, Immanuel Kant Baltic Federal University, Regional Clinical Hospital of the Kaliningrad Region, Kaliningrad, Russia
Eftychios Lostoridis - 1st Department of Surgery, General Hospital of Kavala, Agios Silas, Kavala, Greece
Hans Alexander Mahendran - Department of General Surgery, Sultanah Aminah Hospital, Johor Bahru, Malaysia
Fabio Marino - Unit of Surgery, National Institute of Gastroenterology “Saverio de Bellis”, Research Hospital, Castellana Grotte (Ba), Italy
Andres Martinuzzi - Intensive Care Unit, Centro de Medicina Integral Del Comahue, Neuquén, Argentina
Cristian Mesina - Second Surgical Clinic, Emergency Hospital of Craiova, Craiova, Romania
Vincenzo Neri - Department of Medical and Surgical Sciences, Policlinico Riuniti Università Foggia, Bari, Italy
Marina Panisic - Clinic for General Surgery, Department for Perioperative Nutrition, Military Medical Academy, Belgrade, Serbia
Ciro Paolillo - Emergency Department, AOUI Verona-Borgo Trento, Verona, Italy
Nikolaos Pararas - Surgical Department, Dr. Sulaiman Al Habib Hospital, Alfaisal University, Riyadh, Saudi Arabia
Gennaro Perrone - Department of Emergency Surgery, Parma Maggiore Hospital, Parma, Italy
Antonio Pesce - Department of Surgery, Section of General Surgery, Ospedale Del Delta, Azienda USL of Ferrara, Lagosanto, Ferrara, Italy
Biagio Picardi - General and Emergency Surgery, San Filippo Neri Hospital ASL Roma 1, Roma, Italy
Charlotte Pither - Department of Gastroenterology, Norfolk & Norwich University Hospital, Norwich, United Kingdom
Mauro Podda - Department of Emergency Surgery, Cagliari University Hospital, Cagliari, Italy
Tomas Poskus - Institute of Clinical Medicine, Faculty of Medicine, Vilnius University Hospital Santara Clinics, Vilnius, Lithuania
Florian Poullenot - Department of Gastroenterology, CHU Bordeaux, Bordeaux, France
Matras Przemyslaw - Samodzielny Publiczny Szpital Kliniczny, Lublin, Poland
Massimo Sartelli - Department General Emergency and Trauma Surgery, Macerata Hospital, Macerata, Italy
Diego Sasia - General and Oncological Surgery Unit, Santa Croce and Carle Hospital, Cuneo, Italy
Maximilian Scheiterle - Acute Care Surgery, Trauma Unit, Careggi University Hospital, Firenze, Italy
Fotios Seretis - Department of Internal Medicine, Medical School of University of Patras, Patra, Greece
Kjetil Søreide - Stavanger University Hospital
Ruslan Sydorchuk - General Surgery Department, Bukovinian State Medical University, Chernivtsi, Ukraine
Kinga Szczepanek - General Surgery Unit with Intestinal Failure Center, Stanley Dudrick's Memorial Hospital, Skawina, Poland
Zsolt Bodnar - Department of General Surgery, Letterkenny University Hospital, Letterkenny, Ireland
Fabienne Tamion - Inserm U1096, IRIB, Service de Réanimation Médicale, Université de Rouen, CHU Charles-Nicolle, Rouen, France
Antonio Tarasconi - Department of Emergency Surgery, Parma University Hospital, Parma, Italy
Martin Teraa - Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, Netherlands
Matti Tolonen - HUS Abdominal Center, Department of Abdominal Surgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland
Tim Vanuytsel - Department of Gastroenterology and Hepatology, University Hospital Leuven, Leuven, Belgium
Massimiliano Veroux - Department of General Surgery, Azienda Ospedaliera Universitaria Policlinico San Marco, Catania, Italy
Lars Vinter-Jensen - Department of Gastroenterology and Hepatology, Aalborg University Hospital, Aalborg, Denmark
Diego Visconti - Chirurgia Generale D'Urgenza e PS, AOU Città Della Salute e Della Scienza, Turin, Italy
Lukas Widmer - Department of Visceral Surgery and Medicine, University Hospital Inselspital, Bern, Switzerland
Andee Dzulkarnaen Zakaria - Department of Surgery, School of Medical Sciences & Hospital USM, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Nadezhda Zubareva - General Surgery Department #1, Perm State Medical University N.a. E.A. Vagner, Perm, Russia
Endorsing International Societies
ESICM (European Society of Intensive Care Medicine) Esicm
WSES (World Society of Emergency Surgery) Wses
WSACS (The Abdominal Compartment Society) Wsacs
In-principle support
WFICC (World Federation of Intensive and Critical Care) Wficc
ESPEN Special Interest Group on Acute Intestinal Failure ESPEN (European Society for Clinical Nutrition and Metabolism)
Détails de publication: Clinical nutrition ESPEN, Vol.54, pp.194-205
Éditeur: Elsevier Ltd
Nombre de pages: 12
Identifiants: 99153971309311
Unité académique: Initial MAnagement & prevent of acute orGan failures IN critically ill patiEnts - IMAGINE
Langue: English
Type de ressource: Journal article