ESPN LOGO

Endorsing international societies:
ESICM WSES WSACS

A worldwide survey to assess the management of patients with mesenteric ischaemia & infarction


We are conducting a survey to assess the different approaches to the management of patients with mesenteric ischaemia and intestinal infarction. 

Patients with mesenteric ischaemia often have a significant delay until a diagnosis is made and some then present with a mesenteric infarction. There may be differences in the availability of appropriate investigations and treatments as well as differences in teaching and awareness in different settings. 

We wish to assess the importance of some of these factors prior to conducting a more formal observational study. 

We value your input to this survey - thank you very much!

  • Ischaemia refers to intestinal injury related to impaired or disrupted perfusion that can potentially be reversed. This mesenteric vascular insufficiency may be occlusive or non-occlusive in origin.
  • Infarction refers to irreversible transmural necrosis of the intestine due to ischaemia.
  • Occlusive intestinal ischaemia: Decreased mesenteric blood flow due to high-grade stenosis or occlusion of mesenteric vessels (arterial or venous).
  • Non-occlusive intestinal ischaemia : Decreased mesenteric blood flow without high-grade stenosis or occlusion of specifically identifiable (larger) mesenteric vessels. The mechanisms include severe vasoconstriction (especially if accompanied by hypovolaemia), very low cardiac output and compression of mesenteric vessels due to increased intra-abdominal pressure.
  • Intestinal infarction:  Intestinal ischaemia leading to irreversible transmural necrosis of part of the gastrointestinal tract with or without an irreversible loss of blood flow
Mesenteric ischaemia
Time

Questionnaire

About your center / hospital




ICU = intensive care unit // HDU = high-dependency unit / intermediate care





Patients with acute abdominal pain attending your emergency services
never rarely often always unable to comment

CRP = c-reactive protein // ESR = erythrocyte sedimentation rate

CRP = c-reactive protein // ESR = erythrocyte sedimentation rate
Management of mesenteric ischaemia

ROMS = retrograde open mesenteric (SMA) stenting

Management of non-occlusive mesenteric ischaemia



Management of mesenteric infarction

ROMS = retrograde open mesenteric (SMA) stenting


DJ = duodenojejunal // SB = small bowel

DJ = duodenojejunal // SB = small bowel
Postoperative management of patients after a mesenteric infarction

YES NO unable to comment









General comments / suggestions 

About you & your hospital
If you are interested in participating in an observational study on acute mesenteric ischaemia