| Theme |
Intestinal ulcerations related to vascular disorders |
| Title |
Non-occlusive mesenteric ischemia ; NOMI |
| Author |
Michio Itabashi |
Department of Surgery 2, Tokyo Women's Medical University |
| Author |
Ryo Otsuka |
Department of Surgery 2, Tokyo Women's Medical University |
| Author |
Kaori Takemoto |
Department of Surgery 2, Tokyo Women's Medical University |
| Author |
Shingo Kameoka |
Department of Surgery 2, Tokyo Women's Medical University |
| [ Summary ] |
Non-occlusive mesenteric ischemia (NOMI) accounts for 20-30 % of all cases of acute mesenteric ischemia (AMI). Clinical signs of NOMI are non-specific. Early symptoms are frequently absent so that acute abdominal pain may be the only presenting symptom of mesenteric ischemia. Blood markers are also non-specific and only helpful in providing subsequent therapy. NOMI is a condition characterized by high mortality rates. These poor outcomes are associated with perioperative circulatory shock, receiving adrenergic agents, and massive bowel necrosis. To improve the dismal results for nonocclusive mesenteric ischemia, recognition of patients at high risk, early diagnosis using computed tomography, and treatment with vasodilators and minimizing bowel resection are essential. |