Indications and procedures for second-look surgery in acute mesenteric ischemia

@article{Meng2009IndicationsAP,
  title={Indications and procedures for second-look surgery in acute mesenteric ischemia},
  author={Xianzhi Meng and Lianxin Liu and HongChi Jiang},
  journal={Surgery Today},
  year={2009},
  volume={40},
  pages={700-705}
}
Acute mesenteric ischemia (AMI) is a highly lethal clinical entity associated with high morbidity and mortality. Bowel necrosis often results, usually necessitating bowel resection; however, deciding on the extent of resection is problematic as accurate identification of ischemic bowel that may undergo subsequent infarction is difficult. Therefore, a second-look laparotomy after the first operation is usually recommended. While the second-look procedure is widely accepted, its optimal… 
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TLDR
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ESTES guidelines: acute mesenteric ischaemia
TLDR
New guidelines for the management of acute mesenteric ischaemia are presented to provide recommendations for practice that will lead to improved outcomes for patients.
Revascularization for acute mesenteric ischemia.
TLDR
Morbidity and mortality from AMI continues to be high, and markers of generalized atherosclerosis are predictors of poor outcome, while history of chronic mesenteric ischemia is associated with better outcome.
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