[Nonocclusive mesenteric ischemia (NOMI): Modern diagnostic and therapeutic interventional strategies from a radiological point of view]

Med Klin Intensivmed Notfmed. 2015 Oct;110(7):545-50. doi: 10.1007/s00063-014-0420-x. Epub 2014 Oct 15.
[Article in German]

Abstract

Background: Nonocclusive mesenteric ischemia (NOMI), a rare form of mesenteric perfusion, is associated with a high mortality rate, especially when the diagnosis is delayed.

Objective: Optimizing the diagnostic workup and the use of modern diagnostic possibilities are needed to reduce mortality and morbidity.

Recommended approach: Recent studies recommend not yet standardized integration of computed tomography into the diagnostic workup. This paper gives an overview of the current data for the diagnosis of NOMI.

Keywords: Angiography; Comorbidity; Mesenteric vascular disease; Senescence; Tomography, X-ray computed.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Angiography, Digital Subtraction
  • Critical Care*
  • Critical Illness
  • Humans
  • Intestines / blood supply
  • Magnetic Resonance Angiography
  • Mesenteric Artery, Superior / diagnostic imaging
  • Mesenteric Ischemia / diagnostic imaging*
  • Mesenteric Ischemia / etiology
  • Mesenteric Ischemia / mortality
  • Mesenteric Ischemia / therapy*
  • Sensitivity and Specificity
  • Sweden
  • Tomography, X-Ray Computed
  • Ultrasonography, Doppler