Mesenteric Ischemia: When and How to Revascularize

 Key points 

1. Mesenteric ischemia requires a high index of suspicion, and prompt surgical intervention is indicated to improve mortality. 

2. Revascularization should be performed early, with only frankly necrotic or perforated bowel resected. 

3. Open revascularization approaches remain the gold standard for the treatment of acute mesenteric ischemia, while endovascular approaches have gained favor for chronic disease.



Retrograde open mesenteric stenting (ROMS)


Ref: Advances in Surgery 55 (2021) 75–87

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