Advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review

Non-occlusive mesenteric ischemia (NOMI) is a type of acute mesenteric ischemia (AMI) with a high mortality rate mainly because of a delayed or misdiagnosis. Intra-abdominal sepsis is one of the risk factors for developing NOMI, and its presence makes early diagnosis much more difficult. An increase...

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Autores principales: Chen, Zhou, Liu, Xiaosun, Shou, Chunhui, Yang, Weili, Yu, Jiren
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PeerJ Inc. 2023
Materias:
Emergency and Critical Care
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148637/
https://www.ncbi.nlm.nih.gov/pubmed/37128207
http://dx.doi.org/10.7717/peerj.15307
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author Chen, Zhou
Liu, Xiaosun
Shou, Chunhui
Yang, Weili
Yu, Jiren
author_facet Chen, Zhou
Liu, Xiaosun
Shou, Chunhui
Yang, Weili
Yu, Jiren
author_sort Chen, Zhou
collection PubMed
description Non-occlusive mesenteric ischemia (NOMI) is a type of acute mesenteric ischemia (AMI) with a high mortality rate mainly because of a delayed or misdiagnosis. Intra-abdominal sepsis is one of the risk factors for developing NOMI, and its presence makes early diagnosis much more difficult. An increase in routine abdominal surgeries carries a corresponding risk of abdominal infection, which is a complication that should not be overlooked. It is critical that physicians are aware of the possibility for intestinal necrosis in abdominal sepsis patients due to the poor survival rate of NOMI. This review aims to summarize advances in the diagnosis of NOMI, and focuses on the diagnostic challenges of mesenteric ischemia in patients with intra-abdominal sepsis.
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spelling pubmed-101486372023-04-30 Advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review Chen, Zhou Liu, Xiaosun Shou, Chunhui Yang, Weili Yu, Jiren PeerJ Emergency and Critical Care Non-occlusive mesenteric ischemia (NOMI) is a type of acute mesenteric ischemia (AMI) with a high mortality rate mainly because of a delayed or misdiagnosis. Intra-abdominal sepsis is one of the risk factors for developing NOMI, and its presence makes early diagnosis much more difficult. An increase in routine abdominal surgeries carries a corresponding risk of abdominal infection, which is a complication that should not be overlooked. It is critical that physicians are aware of the possibility for intestinal necrosis in abdominal sepsis patients due to the poor survival rate of NOMI. This review aims to summarize advances in the diagnosis of NOMI, and focuses on the diagnostic challenges of mesenteric ischemia in patients with intra-abdominal sepsis. PeerJ Inc. 2023-04-26 /pmc/articles/PMC10148637/ /pubmed/37128207 http://dx.doi.org/10.7717/peerj.15307 Text en © 2023 Chen et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited.
spellingShingle Emergency and Critical Care
Chen, Zhou
Liu, Xiaosun
Shou, Chunhui
Yang, Weili
Yu, Jiren
Advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review
title Advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review
title_full Advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review
title_fullStr Advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review
title_full_unstemmed Advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review
title_short Advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review
title_sort advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review
topic Emergency and Critical Care
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148637/
https://www.ncbi.nlm.nih.gov/pubmed/37128207
http://dx.doi.org/10.7717/peerj.15307
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