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Acute intestinal ischemia

MedGen UID:
116
•Concept ID:
C0001363
•
Disease or Syndrome
Synonyms: Acute Intestinal Ischemia; acute intestinal ischemia; Acute intestinal ischemic syndrome; Acute intestinal vascular insufficiency; Acute mesenteric ischemia; Acute vascular insufficiency of intestine; AMI - Acute mesenteric ischemia
SNOMED CT: Acute vascular insufficiency of intestine (91489000); Acute intestinal ischemic syndrome (91489000); Acute intestinal vascular insufficiency (91489000); Acute intestinal ischemia (91489000); Acute mesenteric ischemia (91489000); AMI - Acute mesenteric ischemia (91489000)
 
Monarch Initiative: MONDO:0004613

Definition

Ischemia of the intestine that is rapid in onset. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAcute intestinal ischemia

Professional guidelines

PubMed

Clinical significance of pneumatosis intestinalis - correlation of MDCT-findings with treatment and outcome.
Treyaud MO, Duran R, Zins M, Knebel JF, Meuli RA, Schmidt S
Eur Radiol 2017 Jan;27(1):70-79. Epub 2016 Apr 22 doi: 10.1007/s00330-016-4348-9. PMID: 27106233Free PMC Article
The evidence for nonoperative management of visceral artery dissections: a single-center experience.
Alcantara S, Yang CK, Sasson J, Goss S, Benvenisty A, Todd G, Lantis J 2nd
Ann Vasc Surg 2015 Jan;29(1):103-8. Epub 2014 Sep 30 doi: 10.1016/j.avsg.2014.09.004. PMID: 25277054
Radiologic diagnosis and treatment of gastrointestinal hemorrhage and ischemia.
Lefkovitz Z, Cappell MS, Lookstein R, Mitty HA, Gerard PS
Med Clin North Am 2002 Nov;86(6):1357-99. doi: 10.1016/s0025-7125(02)00080-9. PMID: 12510457

Recent clinical studies

Etiology

D-dimer: old dogmas, new (COVID-19) tricks.
Lippi G, Mullier F, Favaloro EJ
Clin Chem Lab Med 2023 Apr 25;61(5):841-850. Epub 2022 Jul 14 doi: 10.1515/cclm-2022-0633. PMID: 35849562
Acute intestinal ischemia in patients with COVID-19: single-centre experience and literature review.
Fransvea P, Costa G, Pepe G, La Greca A, Magalini S, Puccioni C, d'Agostino L, Altieri G, Borello A, Cozza V, Sganga G
Eur Rev Med Pharmacol Sci 2022 Feb;26(4):1414-1429. doi: 10.26355/eurrev_202202_28135. PMID: 35253199
Computed-tomography angiography in arterial acute intestinal ischemia: prognostic interest of vascular semiology.
Bouras N, Xu E, Podeur-Beuzit F, Risson JR
Abdom Radiol (NY) 2022 May;47(5):1614-1624. Epub 2021 Oct 23 doi: 10.1007/s00261-021-03312-4. PMID: 34687324
Preoperative findings on non-specific CT in patients with primary acute intestinal ischemia: a case-control study.
Straarup D, Gotschalck KA, Mikalone R, Thorlacius-Ussing O
Eur J Trauma Emerg Surg 2022 Aug;48(4):3025-3032. Epub 2021 Jul 3 doi: 10.1007/s00068-021-01741-w. PMID: 34216221
Plasma biomarkers for early diagnosis of acute intestinal ischemia.
Powell A, Armstrong P
Semin Vasc Surg 2014 Dec;27(3-4):170-5. Epub 2015 Jan 30 doi: 10.1053/j.semvascsurg.2015.01.008. PMID: 26073827

Diagnosis

Errors in MDCT diagnosis of acute mesenteric ischemia.
Pinto A, Lanzetta MM, Addeo G, Bonini MC, Grazzini G, Miele V
Abdom Radiol (NY) 2022 May;47(5):1699-1713. Epub 2020 Sep 11 doi: 10.1007/s00261-020-02732-y. PMID: 32918107
Marantic endocarditis.
Sánchez Quirós B, Ruiz López N, López Herrero R, Bartolomé Bartolomé C
Rev Esp Anestesiol Reanim (Engl Ed) 2020 Apr;67(4):208-211. Epub 2020 Mar 2 doi: 10.1016/j.redar.2020.01.005. PMID: 32139116
Accuracy of using serum D-dimer for diagnosis of acute intestinal ischemia: A meta-analysis.
Sun DL, Li SM, Cen YY, Xu QW, Li YJ, Sun YB, Qi YX, Lin YY, Yang T, An LY, Su K, Li WM, Xu PY
Medicine (Baltimore) 2017 Mar;96(13):e6380. doi: 10.1097/MD.0000000000006380. PMID: 28353564Free PMC Article
Intestinal ischemia.
Debus ES, Müller-Hülsbeck S, Kölbel T, Larena-Avellaneda A
Int J Colorectal Dis 2011 Sep;26(9):1087-97. Epub 2011 May 4 doi: 10.1007/s00384-011-1196-6. PMID: 21541663
Acute intestinal ischemia and infarction.
Tendler DA
Semin Gastrointest Dis 2003 Apr;14(2):66-76. PMID: 12889581

Therapy

Kinetics of d-lactate and ischemia-modified albumin after abdominal aortic surgery and their ability to predict intestinal ischemia.
Tomandlova M, Novotny T, Staffa R, Smutna J, Krivka T, Kruzliak P, Slaby O, Kubicek L, Vlachovsky R, Radova L, Tomandl J
Clin Biochem 2023 Feb;112:43-47. Epub 2022 Dec 8 doi: 10.1016/j.clinbiochem.2022.12.002. PMID: 36502884
D-dimer: old dogmas, new (COVID-19) tricks.
Lippi G, Mullier F, Favaloro EJ
Clin Chem Lab Med 2023 Apr 25;61(5):841-850. Epub 2022 Jul 14 doi: 10.1515/cclm-2022-0633. PMID: 35849562
Preoperative findings on non-specific CT in patients with primary acute intestinal ischemia: a case-control study.
Straarup D, Gotschalck KA, Mikalone R, Thorlacius-Ussing O
Eur J Trauma Emerg Surg 2022 Aug;48(4):3025-3032. Epub 2021 Jul 3 doi: 10.1007/s00068-021-01741-w. PMID: 34216221
The role of serum intestinal fatty acid binding protein levels and D-lactate levels in the diagnosis of acute intestinal ischemia.
Shi H, Wu B, Wan J, Liu W, Su B
Clin Res Hepatol Gastroenterol 2015 Jun;39(3):373-8. Epub 2015 Feb 12 doi: 10.1016/j.clinre.2014.12.005. PMID: 25683524
Type IV thoracoabdominal aneurysm repair: predictors of postoperative mortality, spinal cord injury, and acute intestinal ischemia.
Kieffer E, Chiche L, Godet G, Koskas F, Bahnini A, Bertrand M, Fléron MH, Goarin JP, Warnier de Wailly G, Benhamou AC
Ann Vasc Surg 2008 Nov;22(6):822-8. doi: 10.1016/j.avsg.2008.07.002. PMID: 18992667

Prognosis

D-dimer: old dogmas, new (COVID-19) tricks.
Lippi G, Mullier F, Favaloro EJ
Clin Chem Lab Med 2023 Apr 25;61(5):841-850. Epub 2022 Jul 14 doi: 10.1515/cclm-2022-0633. PMID: 35849562
Computed-tomography angiography in arterial acute intestinal ischemia: prognostic interest of vascular semiology.
Bouras N, Xu E, Podeur-Beuzit F, Risson JR
Abdom Radiol (NY) 2022 May;47(5):1614-1624. Epub 2021 Oct 23 doi: 10.1007/s00261-021-03312-4. PMID: 34687324
Preoperative findings on non-specific CT in patients with primary acute intestinal ischemia: a case-control study.
Straarup D, Gotschalck KA, Mikalone R, Thorlacius-Ussing O
Eur J Trauma Emerg Surg 2022 Aug;48(4):3025-3032. Epub 2021 Jul 3 doi: 10.1007/s00068-021-01741-w. PMID: 34216221
Marantic endocarditis.
Sánchez Quirós B, Ruiz López N, López Herrero R, Bartolomé Bartolomé C
Rev Esp Anestesiol Reanim (Engl Ed) 2020 Apr;67(4):208-211. Epub 2020 Mar 2 doi: 10.1016/j.redar.2020.01.005. PMID: 32139116
Plasma biomarkers for early diagnosis of acute intestinal ischemia.
Powell A, Armstrong P
Semin Vasc Surg 2014 Dec;27(3-4):170-5. Epub 2015 Jan 30 doi: 10.1053/j.semvascsurg.2015.01.008. PMID: 26073827

Clinical prediction guides

D-dimer: old dogmas, new (COVID-19) tricks.
Lippi G, Mullier F, Favaloro EJ
Clin Chem Lab Med 2023 Apr 25;61(5):841-850. Epub 2022 Jul 14 doi: 10.1515/cclm-2022-0633. PMID: 35849562
Acute intestinal ischemia in patients with COVID-19: single-centre experience and literature review.
Fransvea P, Costa G, Pepe G, La Greca A, Magalini S, Puccioni C, d'Agostino L, Altieri G, Borello A, Cozza V, Sganga G
Eur Rev Med Pharmacol Sci 2022 Feb;26(4):1414-1429. doi: 10.26355/eurrev_202202_28135. PMID: 35253199
Computed-tomography angiography in arterial acute intestinal ischemia: prognostic interest of vascular semiology.
Bouras N, Xu E, Podeur-Beuzit F, Risson JR
Abdom Radiol (NY) 2022 May;47(5):1614-1624. Epub 2021 Oct 23 doi: 10.1007/s00261-021-03312-4. PMID: 34687324
Preoperative findings on non-specific CT in patients with primary acute intestinal ischemia: a case-control study.
Straarup D, Gotschalck KA, Mikalone R, Thorlacius-Ussing O
Eur J Trauma Emerg Surg 2022 Aug;48(4):3025-3032. Epub 2021 Jul 3 doi: 10.1007/s00068-021-01741-w. PMID: 34216221
Plasma biomarkers for early diagnosis of acute intestinal ischemia.
Powell A, Armstrong P
Semin Vasc Surg 2014 Dec;27(3-4):170-5. Epub 2015 Jan 30 doi: 10.1053/j.semvascsurg.2015.01.008. PMID: 26073827

Recent systematic reviews

Diagnostic Accuracy of Intestinal Fatty Acid Binding Protein for Acute Intestinal Ischemia: a Systematic Review and Meta-Analysis.
Ding CM, Wu YH, Liu XF
Clin Lab 2020 Jun 1;66(6) doi: 10.7754/Clin.Lab.2019.191139. PMID: 32538048

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