ACUTE MESENTERIC ISCHEMIA: CLINICAL PICTURE, DIAGNOSIS AND TREATMENT.
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , |
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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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 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 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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1796798442887970816 |