Valentine R J, Whelan T V, Meyers H F
Division of Vascular Surgery, Bethesda Naval Hospital, MD.
Am J Kidney Dis. 1990 Jun;15(6):598-600. doi: 10.1016/s0272-6386(12)80533-6.
Nonocclusive mesenteric ischemia (NOMI) is a disorder with an extremely high mortality. Salvage of affected patients requires early recognition and aggressive intervention to prevent intestinal gangrene. Dialysis patients represent a group at particularly high risk for this condition. Clinicians should develop a high index of suspicion for NOMI in dialysis patients to lessen the risk of death. A high interventional posture must be maintained due to the notoriously unreliable signs and symptoms of this disorder.
