ACUTE MESENTERIC ISCHEMIA: CLINICAL PICTURE, DIAGNOSIS AND TREATMENT.

Detalhes bibliográficos
Autor(a) principal: Moreschi , Igor
Data de Publicação: 2023
Outros Autores: Moreschi, Hugo, Mendonça , Luiza Furtado, Alves, Guilherme Freitas de Assunção, Luz , Luis Carlos Pinheiro, Grundemann, Manoel Ricardo Siqueira, Santos, Joelson Sales dos, Tavares , Thiago de Mello, Zanoni , Rodrigo Daniel
Tipo de documento: Artigo
Idioma: por
Título da fonte: Brazilian Journal of Implantology and Health Sciences
Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/1143
Resumo: Introduction: Acute Mesenteric Ischemia (AMI) is a rare pathology with a nonspecific clinical presentation, so that, in general, the diagnosis is late, a fact that compromises the implementation of adequate treatment. This pathology has several etiologies and commonly affects the elderly population, a fact that increases the concern of the health system, since in the current Brazilian scenario we have an inversion of the age pyramid and an increase in the senile population. Therefore, it is essential to understand the clinical nature of this medical emergency, as well as the diagnostic criteria and therapeutic basis, in order to ensure the best management of the case and the best prognosis for the patient. Thus, the main objective of this work is to carry out a review of the main clinical, diagnostic and therapeutic parameters of AMI. Methodology: This is a narrative review of the literature, which was carried out through a search on the PUBMED targeting platform using the descriptions joined by the AND operator: "Mesenteric Ischemia", "Diagnosis", "Therapeutics", “Surgical Procedures, Operative ”. We obtained 196 articles indexed in MEDLINE databases, which were submitted to the following inclusion criteria: published within 5 years, full text available in full and original study. After that, of the 14 articles found, 5 were excluded after reading the title and abstract because they did not fit the desired standards. The search and analysis of the articles was carried out in pairs, independently and blindly, there was no disagreement between the authors and after excluding duplicates, 7 articles were used in this review. Results and Discussion: For clinical suspicion, it is essential to be aware of the typical clinical features of the disease, with abdominal pain that is disproportionate to the physical examination. some specific etiologies bleeding. In general, laboratory tests have little value in terms of diagnostic criteria or exclusion of the disease, imaging tests being fundamental, with a main indication for tomography, in view of the limitations of ultrasound. The treatment consists of several parts, being essential to replace the volume, start empiric antibiotic therapy and revascularize the patient, as well as follow the treatment with drugs to prevent relapses. Conclusion: Understanding this pathology is essential to make an early diagnosis and determine the best intervention and ensure lower morbidity and mortality.
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spelling ACUTE MESENTERIC ISCHEMIA: CLINICAL PICTURE, DIAGNOSIS AND TREATMENT.ISQUEMIA MESENTÉRICA AGUDA: QUADRO CLÍNICO, DIAGNÓSTICO E TRATAMENTO.Isquemia Mesentérica Aguda; diagnóstico; quadro clínico; tratamento.Acute Mesenteric Ischemia; diagnosis; clinical condition; treatmentIntroduction: Acute Mesenteric Ischemia (AMI) is a rare pathology with a nonspecific clinical presentation, so that, in general, the diagnosis is late, a fact that compromises the implementation of adequate treatment. This pathology has several etiologies and commonly affects the elderly population, a fact that increases the concern of the health system, since in the current Brazilian scenario we have an inversion of the age pyramid and an increase in the senile population. Therefore, it is essential to understand the clinical nature of this medical emergency, as well as the diagnostic criteria and therapeutic basis, in order to ensure the best management of the case and the best prognosis for the patient. Thus, the main objective of this work is to carry out a review of the main clinical, diagnostic and therapeutic parameters of AMI. Methodology: This is a narrative review of the literature, which was carried out through a search on the PUBMED targeting platform using the descriptions joined by the AND operator: "Mesenteric Ischemia", "Diagnosis", "Therapeutics", “Surgical Procedures, Operative ”. We obtained 196 articles indexed in MEDLINE databases, which were submitted to the following inclusion criteria: published within 5 years, full text available in full and original study. After that, of the 14 articles found, 5 were excluded after reading the title and abstract because they did not fit the desired standards. The search and analysis of the articles was carried out in pairs, independently and blindly, there was no disagreement between the authors and after excluding duplicates, 7 articles were used in this review. Results and Discussion: For clinical suspicion, it is essential to be aware of the typical clinical features of the disease, with abdominal pain that is disproportionate to the physical examination. some specific etiologies bleeding. In general, laboratory tests have little value in terms of diagnostic criteria or exclusion of the disease, imaging tests being fundamental, with a main indication for tomography, in view of the limitations of ultrasound. The treatment consists of several parts, being essential to replace the volume, start empiric antibiotic therapy and revascularize the patient, as well as follow the treatment with drugs to prevent relapses. Conclusion: Understanding this pathology is essential to make an early diagnosis and determine the best intervention and ensure lower morbidity and mortality.Introdução: A Isquemia Mesentérica Aguda (IMA) consiste em uma patologia rara e com a clínica inespecífica, de modo que, em geral, o diagnóstico é tardio, fato que compromete a implantação do tratamento de modo adequado. Essa patologia apresenta diversas etiologias e acomete comumente a população idosa, fato que aumenta a preocupação do sistema de saúde, uma vez que contamos no cenário atual brasileiro com a inversão da pirâmide etária e aumento da população senil. Mediante isso, é fundamental compreender a clínica dessa emergência médica, bem como os critérios diagnósticos e a base terapêutica, de modo a garantir a melhor condução do caso e melhor prognóstico do paciente. Desse modo, o objetivo principal desse trabalho é realizar uma revisão dos principais parâmetros clínicos, diagnósticos e terapêuticos da IMA. Metodologia: Trata-se de uma revisão narrativa da literatura, a qual foi realizada mediante uma busca na plataforma de direcionamento PUBMED utilizando os descritos unidos pelo operador AND: "Mesenteric Ischemia", "Diagnosis", "Therapeutics", “Surgical Procedures, Operative”. Obteve-se 196 artigos indexado as bases MEDLINE, os quais foram submetidos aos seguintes critérios de inclusão: publicados dentro de 5 anos, texto completo disponível na íntegra e estudo original. Após isso, dos 14 artigos encontrados, 5 foram excluídos após leitura de título e resumo por não se enquadrarem nos padrões desejados. A busca e análise dos artigos foi feita aos pares, de modo independente e cega, não houve discordância entre os autores e após excluir duplicatas, 7 artigos foram usados nessa revisão.  Resultados e Discussões: Para a suspeita clínica, é fundamental está atento a clínica típica da doença, cursando com dor abdominal desproporcional ao exame físico, além disso é comum o paciente apresentar alterações do trato gastrointestinal, tais como náuseas, vômitos, diarreia e, em algumas etiologias específicas sangramentos. Em geral, os exames laboratoriais tem pouco valor em critérios de diagnóstico ou exclusão da doença, sendo fundamental exames de imagem, com uma indicação principal para a tomografia, tendo em vista as limitações do ultrassom. O tratamento é composto por várias partes, sendo fundamental repor volume, iniciar antibioticoterapia empírica e revascularizar o paciente, bem como seguir tratamento com medicamentos para evitar recidivas. Conclusão: A compreensão dessa patologia é fundamental para fazer um diagnóstico precoce e determinar a melhor intervenção e garantir menor morbimortalidade.Specialized Dentistry Group2023-12-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/114310.36557/2674-8169.2023v5n5p6180-6190Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 6180-6190Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 6180-6190Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 6180-61902674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1143/1296Copyright (c) 2023 Igor Moreschi , Hugo Moreschi, Luiza Furtado Mendonça , Guilherme Freitas de Assunção Alves, Luis Carlos Pinheiro Luz , Manoel Ricardo Siqueira Grundemann, Joelson Sales dos Santos, Thiago de Mello Tavares , Rodrigo Daniel Zanoni https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMoreschi , IgorMoreschi, HugoMendonça , Luiza Furtado Alves, Guilherme Freitas de Assunção Luz , Luis Carlos PinheiroGrundemann, Manoel Ricardo Siqueira Santos, Joelson Sales dos Tavares , Thiago de MelloZanoni , Rodrigo Daniel2023-12-22T19:46:23Zoai:ojs.bjihs.emnuvens.com.br:article/1143Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2023-12-22T19:46:23Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false
dc.title.none.fl_str_mv ACUTE MESENTERIC ISCHEMIA: CLINICAL PICTURE, DIAGNOSIS AND TREATMENT.
ISQUEMIA MESENTÉRICA AGUDA: QUADRO CLÍNICO, DIAGNÓSTICO E TRATAMENTO.
title ACUTE MESENTERIC ISCHEMIA: CLINICAL PICTURE, DIAGNOSIS AND TREATMENT.
spellingShingle ACUTE MESENTERIC ISCHEMIA: CLINICAL PICTURE, DIAGNOSIS AND TREATMENT.
Moreschi , Igor
Isquemia Mesentérica Aguda; diagnóstico; quadro clínico; tratamento.
Acute Mesenteric Ischemia; diagnosis; clinical condition; treatment
title_short ACUTE MESENTERIC ISCHEMIA: CLINICAL PICTURE, DIAGNOSIS AND TREATMENT.
title_full ACUTE MESENTERIC ISCHEMIA: CLINICAL PICTURE, DIAGNOSIS AND TREATMENT.
title_fullStr ACUTE MESENTERIC ISCHEMIA: CLINICAL PICTURE, DIAGNOSIS AND TREATMENT.
title_full_unstemmed ACUTE MESENTERIC ISCHEMIA: CLINICAL PICTURE, DIAGNOSIS AND TREATMENT.
title_sort ACUTE MESENTERIC ISCHEMIA: CLINICAL PICTURE, DIAGNOSIS AND TREATMENT.
author Moreschi , Igor
author_facet Moreschi , Igor
Moreschi, Hugo
Mendonça , Luiza Furtado
Alves, Guilherme Freitas de Assunção
Luz , Luis Carlos Pinheiro
Grundemann, Manoel Ricardo Siqueira
Santos, Joelson Sales dos
Tavares , Thiago de Mello
Zanoni , Rodrigo Daniel
author_role author
author2 Moreschi, Hugo
Mendonça , Luiza Furtado
Alves, Guilherme Freitas de Assunção
Luz , Luis Carlos Pinheiro
Grundemann, Manoel Ricardo Siqueira
Santos, Joelson Sales dos
Tavares , Thiago de Mello
Zanoni , Rodrigo Daniel
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Moreschi , Igor
Moreschi, Hugo
Mendonça , Luiza Furtado
Alves, Guilherme Freitas de Assunção
Luz , Luis Carlos Pinheiro
Grundemann, Manoel Ricardo Siqueira
Santos, Joelson Sales dos
Tavares , Thiago de Mello
Zanoni , Rodrigo Daniel
dc.subject.por.fl_str_mv Isquemia Mesentérica Aguda; diagnóstico; quadro clínico; tratamento.
Acute Mesenteric Ischemia; diagnosis; clinical condition; treatment
topic Isquemia Mesentérica Aguda; diagnóstico; quadro clínico; tratamento.
Acute Mesenteric Ischemia; diagnosis; clinical condition; treatment
description Introduction: Acute Mesenteric Ischemia (AMI) is a rare pathology with a nonspecific clinical presentation, so that, in general, the diagnosis is late, a fact that compromises the implementation of adequate treatment. This pathology has several etiologies and commonly affects the elderly population, a fact that increases the concern of the health system, since in the current Brazilian scenario we have an inversion of the age pyramid and an increase in the senile population. Therefore, it is essential to understand the clinical nature of this medical emergency, as well as the diagnostic criteria and therapeutic basis, in order to ensure the best management of the case and the best prognosis for the patient. Thus, the main objective of this work is to carry out a review of the main clinical, diagnostic and therapeutic parameters of AMI. Methodology: This is a narrative review of the literature, which was carried out through a search on the PUBMED targeting platform using the descriptions joined by the AND operator: "Mesenteric Ischemia", "Diagnosis", "Therapeutics", “Surgical Procedures, Operative ”. We obtained 196 articles indexed in MEDLINE databases, which were submitted to the following inclusion criteria: published within 5 years, full text available in full and original study. After that, of the 14 articles found, 5 were excluded after reading the title and abstract because they did not fit the desired standards. The search and analysis of the articles was carried out in pairs, independently and blindly, there was no disagreement between the authors and after excluding duplicates, 7 articles were used in this review. Results and Discussion: For clinical suspicion, it is essential to be aware of the typical clinical features of the disease, with abdominal pain that is disproportionate to the physical examination. some specific etiologies bleeding. In general, laboratory tests have little value in terms of diagnostic criteria or exclusion of the disease, imaging tests being fundamental, with a main indication for tomography, in view of the limitations of ultrasound. The treatment consists of several parts, being essential to replace the volume, start empiric antibiotic therapy and revascularize the patient, as well as follow the treatment with drugs to prevent relapses. Conclusion: Understanding this pathology is essential to make an early diagnosis and determine the best intervention and ensure lower morbidity and mortality.
publishDate 2023
dc.date.none.fl_str_mv 2023-12-22
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/1143
10.36557/2674-8169.2023v5n5p6180-6190
url https://bjihs.emnuvens.com.br/bjihs/article/view/1143
identifier_str_mv 10.36557/2674-8169.2023v5n5p6180-6190
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/1143/1296
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info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Specialized Dentistry Group
publisher.none.fl_str_mv Specialized Dentistry Group
dc.source.none.fl_str_mv Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 6180-6190
Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 6180-6190
Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 6180-6190
2674-8169
reponame:Brazilian Journal of Implantology and Health Sciences
instname:Grupo de Odontologia Especializada (GOE)
instacron:GOE
instname_str Grupo de Odontologia Especializada (GOE)
instacron_str GOE
institution GOE
reponame_str Brazilian Journal of Implantology and Health Sciences
collection Brazilian Journal of Implantology and Health Sciences
repository.name.fl_str_mv Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)
repository.mail.fl_str_mv journal.bjihs@periodicosbrasil.com.br
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