Parliteanu Cristina, Gavillet Mathilde, Gié Olivier, Bize Pierre, Maillard Michel H
Service de gastroentérologie et d'hépatologie, CHUV, 1011 Lausanne.
Service d'hématologie, CHUV, 1011 Lausanne.
Rev Med Suisse. 2016 Aug 31;12(528):1419-1423.
Mesenteric ischemia results from acute or chronic blood flow reduction in the mesenteric arterial or venous vascular supply. This is usually due to an embolus, thrombosis or intestinal hypoperfusion. Radiologic and / or endoscopic imaging and histology allow for diagnosis in high-risk patients with suggestive clinical symptoms and signs. Treatment aims at preventing multi-organ failure through medical treatment, saving intestinal integrity and resecting necrotic bowel segments. Rapid and multidisciplinary management is key in order to optimize treatment and avoid long-term debilitating consequences.