6533b859fe1ef96bd12b8683

RESEARCH PRODUCT

Akute Gefäßerkrankungen in der Gastroenterologie. Der Gastroenterologe - Acute gastroenterologic vascular diseases

Grubhofer FGilhofer TsGubler CLurje GSchneider PmLachat M.Felice Pecoraro

subject

Mesenteric ischemia · Aorto-enteric fistula · Visceral artery aneurysms · Budd-Chiari syndrome · Endovascular therapy approachesSettore MED/22 - Chirurgia Vascolare

description

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.

10.1007/s11377-011-0580-7http://hdl.handle.net/10447/99647