Akute Gefäßerkrankungen in der Gastroenterologie. Der Gastroenterologe - Acute gastroenterologic vascular diseases
- Autori: Grubhofer F; Pecoraro F; Gilhofer TS; Gubler C; Lurje G; Schneider PM; Lachat M
- Anno di pubblicazione: 2012
- Tipologia: Articolo in rivista (Articolo in rivista)
- Parole Chiave: Mesenteric ischemia · Aorto-enteric fistula · Visceral artery aneurysms · Budd-Chiari syndrome · Endovascular therapy approaches
- OA Link: http://hdl.handle.net/10447/99647
Abstract
Acute gastroenterologic vascular emergencies are common situations in emergency departments and the clinical consequences range from trivial to life-threatening. Only the early recognition of these symptom patterns and prompt use of the appropriate diagnostic tools lead to a correct diagnosis with subsequent potentially life-saving treatment. To decrease the high mortality rate of acute mesenteric ischemia (50%), aorto-enteric fistula (30–40%), visceral artery aneurysms (10– 100%) and Budd-Chiari syndrome new strategies with an endovascular approach are gaining importance and are partially replacing established diagnostic and therapeutic algorithms. This article provides a review of the diagnosis and therapy of these gastroenterologic emergency situations.