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Allt fler får akut tarmischemi: snabb diagnos och behandling räddar liv
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.
2012 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 109, no 49-50, 2284-2286 p.Article in journal (Refereed) Published
Abstract [en]

This paper summarizes the epidemiology and diagnostic work-up of acute bowel ischaemia (ABI). Different etiologies are described: Arterial and venous, occlusive and non-occlusive hypoperfusion syndromes. All conditions, in particular embolus to the superior mesenteric artery, are more prevalent in older age-groups, explaining why the incidence is increasing over time, a result of demographic change. D-dimer is a readily available biomarker at most emergency wards working excellent as an exclusion test. A specific biomarker for intestinal ischaemia is not yet available. A break-through in diagnosing ABI is modern multi-detector CT-scan (MDCT), explaining why more patients are identified prior to irreversible bowel gangrene, and revascularized. It is important that the surgeon or physician communicates the clinical suspicion of ABI to the radiologist. An important part of the decision-making is if the MDCT should be performed in a patient with an elevated creatinin level, a common finding due to vomiting and hypovolaemia.

Place, publisher, year, edition, pages
2012. Vol. 109, no 49-50, 2284-2286 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-199897PubMedID: 23367865OAI: oai:DiVA.org:uu-199897DiVA: diva2:621801
Note

[More and more people get acute intestinal ischemia--early diagnosis and treatment saves lives]

Available from: 2013-05-17 Created: 2013-05-17 Last updated: 2017-12-06Bibliographically approved

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PubMedhttp://ltarkiv.lakartidningen.se/2012/temp/pda41746.pdf

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Björck, Martin

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