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Bowel Ischemia

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Mini-invasive Approach in Acute Care Surgery

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

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Abstract

Bowel ischemia is an umbrella term encompassing a wide range of diseases, ranging from self-limiting conditions, usually responding to conservative treatment, to surgical emergencies, associated with high mortality rates. In acute setting, according to anatomy, different pathogenesis, and clinical evolution, we can classify them in two main entities: acute mesenteric ischemia (AMI) and colon ischemia (CI), also named ischemic colitis (IC).

While AMI is a surgical emergency with high mortality, CI may be treated conservatively in most cases, and surgery is indicated in case of gangrene, perforation, or unresponsive cases. In this chapter, we provide an overview of the epidemiology, pathogenesis, diagnosis, and clinical management of bowel ischemia, highlighting the potential indications for mini-invasive surgery in this setting.

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Authors and Affiliations

  1. Department of Surgery, Nicola Giannettasio Hospital, Corigliano-Rossano, Italy

    Francesco Pata MD, PhD

  2. Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Rende, Italy

    Francesco Pata MD, PhD

  3. Cardiology Unit, Azienda Ospedaliera Pugliese-Ciaccio, Catanzaro, Italy

    Antonio Pata MD

  4. Department of Advanced Medical and Surgical Science, Università degli Studi della Campania “Luigi Vanvitelli”, Naples, Italy

    Gianluca Pellino MD, PhD

  5. Colorectal Surgery, Vall d’Hebron University Hospital, Barcelona, Spain

    Gianluca Pellino MD, PhD

  6. Department of Surgery, Sapienza University of Rome, Rome, Italy

    Gaetano Gallo MD, PhD

  7. Department of General Surgery, Surgical Specialties and Organ Transplantation, Sapienza University, Rome, Italy

    Giancarlo D’Ambrosio MD

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  1. Francesco Pata MD, PhD
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  2. Antonio Pata MD
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  3. Gianluca Pellino MD, PhD
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  4. Gaetano Gallo MD, PhD
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  5. Giancarlo D’Ambrosio MD
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Editors and Affiliations

  1. General, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Pisa, Italy

    Federico Coccolini

  2. Emergency Surgery Department, Cagliari University Hospital, A.O.U. di Cagliari, Monserrato, Cagliari, Italy

    Mauro Podda

  3. Oklahoma Univ. School of Med. at Tulsa, Tulsa, OK, USA

    Robert B. Lim

  4. General, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Pisa, Italy

    Massimo Chiarugi

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Pata, F., Pata, A., Pellino, G., Gallo, G., D’Ambrosio, G. (2023). Bowel Ischemia. In: Coccolini, F., Podda, M., Lim, R.B., Chiarugi, M. (eds) Mini-invasive Approach in Acute Care Surgery. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-031-39001-2_18

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