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1、EurJTraumaEmergSurgDOI10.1007/s00068-016-0634-0ESTESGUIDELINEESTESguidelines:acutemesentericischaemiaJ.V.T.Tilsed1·A.Casamassima2·H.Kurihara3·D.Mariani4·I.Martinez5·J.Pereira6·L.Ponchietti7·A.Shamiyeh8·F.al‑Ayoubi9·L.A.B.Barco10·M.Ceolin3·A.J.G.D’Almeida11·S.Hilario12·A.L.Olavarria13·M.M.Ozmen
2、14·L.F.Pinheiro15·M.Poeze16·G.Triantos17·F.T.Fuentes18·S.U.Sierra19·K.Soreide20,21·H.Yanar22©TheAuthor(s)2016.ThisarticleispublishedwithopenaccessatSpringerlink.comAbstractEarlydiagnosisandprompttreatmentarethegoalsofmod-PurposeAcutemesentericischaemia(AMI)accountserntherapy,buttherearenorando
3、mizedcontrolledtrialstoforabout1:1000acutehospitaladmissions.Untreated,guidetreatmentandthepublishedliteraturecontainsahighAMIwillcausemesentericinfarction,intestinalnecrosis,ratioofreviewstooriginaldata.Muchofthatdatacomesanoverwhelminginflammatoryresponseanddeath.Earlyfromcasereportsandoften
4、small,retrospectiveserieswithinterventioncanhaltandreversethisprocessleadingtoanoclearlydefinedtreatmentcriteria.fullrecovery,butthediagnosisofAMIisdifficultandfail-MethodsAstudygroupoftheEuropeanSocietyforuretorecognizeAMIbeforeintestinalnecrosishasdevel-TraumaandEmergencySurgery(ESTES)wasfor
5、medinopedisresponsibleforthehighmortalityofthedisease.2013withtheaimofdevelopingguidelinesfortheman-agementofAMI.AcomprehensiveliteraturesearchwasperformedusingtheMedicalSubjectHeading(MeSH)Steeringgroup:J.V.T.Tilsed,A.Casamassima,H.Kurihara,D.Mariani,I.Martinez,J.Pereira,L.Ponchietti,A.Shamiy
6、eh.11DepartmentofGeneralSurgery,CentroHospitalardeVila*J.V.T.Tilsedjonathan.tilsed@hey.nhs.ukNovadeGaia/Espinho,VilaNovadeGaia,Portugal122ndSurgicalDepartment,SantoAndréHospital,Leiria,1SurgeryHealthCareGroup,HullandEastYorkshirePortugalHospitalsNHSTrust,Hull,UK13ServiciodeCirugíaGeneralyDiges
7、tiva,HospitalGaldakao2EmergencyDepartment,IstitutoClinicoCittàStudi,Milan,Usansolo,Vizcaya,SpainItaly14DepartmentofSurgery,MedicalSchool,Hacettepe3EmergencySurgeryandTraumaUnit,HumanitasResearchUniversity,06100Ankara,TurkeyHospital,Rozz
