Copyright
©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Pathophysiol. Feb 15, 2016; 7(1): 125-130
Published online Feb 15, 2016. doi: 10.4291/wjgp.v7.i1.125
Published online Feb 15, 2016. doi: 10.4291/wjgp.v7.i1.125
Mesenteric ischemia: Pathogenesis and challenging diagnostic and therapeutic modalities
Aikaterini Mastoraki, Evgenia Tziava, Stavroula Touloumi, Nikolaos Krinos, Nikolaos Danias, Nikolaos Arkadopoulos, 4th Department of Surgery, Athens University, Medical School, ATTIKON University Hospital, 12462 Chaidari, Athens, Greece
Sotiria Mastoraki, Andreas Lazaris, Department of Vascular Surgery, Athens University, Medical School, ATTIKON University Hospital, 12462 Chaidari, Athens, Greece
Author contributions: All authors contributed significantly in all stages of this work, they have read and approved the manuscript and confirm that no conflict of interest exists.
Conflict-of-interest statement: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Aikaterini Mastoraki, MD, PhD, 4th Department of Surgery, Athens University, Medical School, ATTIKON University Hospital, 1 Rimini Str, 12462 Chaidari, Athens, Greece. dr_kamast@yahoo.gr
Telephone: +30-6932-577710 Fax: +30-210-5326412
Received: June 24, 2015
Peer-review started: June 25, 2015
First decision: August 26, 2015
Revised: October 22, 2015
Accepted: January 8, 2016
Article in press: January 11, 2016
Published online: February 15, 2016
Processing time: 220 Days and 21.1 Hours
Peer-review started: June 25, 2015
First decision: August 26, 2015
Revised: October 22, 2015
Accepted: January 8, 2016
Article in press: January 11, 2016
Published online: February 15, 2016
Processing time: 220 Days and 21.1 Hours
Core Tip
Core tip: Mesenteric ischemia (MI) is an uncommon medical condition with high mortality rates. ΜΙ includes inadequate blood supply, inflammatory injury and eventually necrosis of the bowel wall. Because of a lack of specific signs or due to its sometime quiet presentation, this condition is frequently diagnosed only at an advanced stage. Therapeutic approach refers to both medical and surgical treatment. Surgical procedures include restoration of the blood flow with arteriotomy, endarterectomy or anterograde bypass, while resection of necrotic bowel is always implemented.