Prepared by:
Dr. Mohamed Al-Shekhani.
Kurdistan Board GEH Journal club.
MOST OFTEN MISUNDERSTOOD BY
GASTROENTEROLOGISTS .
MAY OCCUR WITH OR WITHOUT DIGESTIVE
VASCULAR OCCLUSION.
WHATEVER THE MEC...
DIAGNOSIS MUST BE SUSPECTED WITH ANY
SUDDEN, CONTINUOUS & UNUSUAL
ABDOMINAL PAIN, CONTRASTING WITH
NORMAL PHYSICAL EXAM IN...
GASTROENTEROLOGISTS
HAVE A MAJOR ROLE IN THE MANAGEMENT, TO
AVOID DEATH & LARGE INTESTINAL RESECTIONS,
BY INITIATING & COO...
IN THE EARLY STAGES, PATIENTS WITHOUT
SURGICAL COMPLICATION, ORGAN FAILURE OR
HIGH LACTATE LEVELS SHOULD BE TREATED
MEDICA...
AT LATER STAGES, SURGICAL MANAGEMENT
REQUIRES BOTH RESECTION &
REVASCULARIZATION.
ANY FACTOR THAT MAY HAVE CONTRIBUTED TO
...
What’s Your Message?THANKS
Git journal club Gastrointestinal ischemic injuries GI3.
Git journal club Gastrointestinal ischemic injuries GI3.
Git journal club Gastrointestinal ischemic injuries GI3.
Git journal club Gastrointestinal ischemic injuries GI3.
Git journal club Gastrointestinal ischemic injuries GI3.
Git journal club Gastrointestinal ischemic injuries GI3.
Git journal club Gastrointestinal ischemic injuries GI3.
Git journal club Gastrointestinal ischemic injuries GI3.
Git journal club Gastrointestinal ischemic injuries GI3.
Git journal club Gastrointestinal ischemic injuries GI3.
Git journal club Gastrointestinal ischemic injuries GI3.
Git journal club Gastrointestinal ischemic injuries GI3.
Upcoming SlideShare
Loading in …5
×

Git journal club Gastrointestinal ischemic injuries GI3.

574 views

Published on

Git journal club Gastrointestinal ischemic injuries GI3: GIT Vascular emergencies

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
574
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
10
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • This presentation demonstrates the new capabilities of PowerPoint and it is best viewed in Slide Show. These slides are designed to give you great ideas for the presentations you’ll create in PowerPoint 2011!For more sample templates, click the File menu, and then click New From Template. Under Templates, click Presentations.
  • Git journal club Gastrointestinal ischemic injuries GI3.

    1. 1. Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club.
    2. 2. MOST OFTEN MISUNDERSTOOD BY GASTROENTEROLOGISTS . MAY OCCUR WITH OR WITHOUT DIGESTIVE VASCULAR OCCLUSION. WHATEVER THE MECHANISMS THE INCIDENCE IS INCREASING THE PROGNOSIS COULD BE IMPROVED BY AN INNOVATIVE MULTIMODAL & MULTIDISCIPLINARY MANAGEMENT INITIATED AT EARLY PRESENTATION.
    3. 3. DIAGNOSIS MUST BE SUSPECTED WITH ANY SUDDEN, CONTINUOUS & UNUSUAL ABDOMINAL PAIN, CONTRASTING WITH NORMAL PHYSICAL EXAM INITIALY. THROMBO-ATHERO-EMBOLIC RISK FACTORS ARE OFTEN UNKNOWN AT PRESENTATION & NO BIOCHEMICAL TEST IS SPECIFIC. ABSENCE OF INDIVIDUAL RISK FACTORS OR NORMAL BIOLOGY MIGHT NOT DENY OR DELAY THE DIAGNOSIS, WHICH SHOULD BE CONFIRMED BY ABDOMINAL CT ANGIOGRAPHY IDENTIFYING GASTRO-INTESTINAL ISCHAEMIC INJURY, WITH OR WITHOUT VASCULAR OCCLUSION.
    4. 4. GASTROENTEROLOGISTS HAVE A MAJOR ROLE IN THE MANAGEMENT, TO AVOID DEATH & LARGE INTESTINAL RESECTIONS, BY INITIATING & COORDINATING A MULTIDISCIPLINARY A/MULTIMODAL MANAGEMENT INCORPORATING A MEDICAL PROTOCOL, REVASCULARIZATION OF VIABLE DIGESTIVE SEGMENTS&RESECTION OF NON- VIABLE INTESTINE. THERAPEUTIC STRATEGY DEPENDS ON THE PRESENCE OF AT LEAST ONE OF THREE CRITERIA (NECROSIS, ORGAN FAILURE, OR ELEVATED SERUM LACTATE).
    5. 5. IN THE EARLY STAGES, PATIENTS WITHOUT SURGICAL COMPLICATION, ORGAN FAILURE OR HIGH LACTATE LEVELS SHOULD BE TREATED MEDICALLY WITH ENDOVASCULAR REVASCULARIZATION WHENEVER POSSIBLE.
    6. 6. AT LATER STAGES, SURGICAL MANAGEMENT REQUIRES BOTH RESECTION & REVASCULARIZATION. ANY FACTOR THAT MAY HAVE CONTRIBUTED TO THIS ISCHAEMIC STROKE (I.E ATHEROSCLEROSIS, CARDIAC EMBOLISM OR THROMBOPHILIA) SHOULD BE INVESTIGATED &TREATED, WITH PARTICULAR REFERENCE TO ISCHAEMIC COLITIS & NON-OCCLUSIVE MESENTERIC ISCHEMIA.
    7. 7. What’s Your Message?THANKS

    ×