Nonocclusive mesenteric ischemia: a lethal complication in peritoneal dialysis patients

dc.contributor.authorArchodovassilis, F.en
dc.contributor.authorLagoudiannakis, E. E.en
dc.contributor.authorTsekouras, D. K.en
dc.contributor.authorVlachos, K.en
dc.contributor.authorAlbanopoulos, K.en
dc.contributor.authorFillis, K.en
dc.contributor.authorManouras, A.en
dc.contributor.authorBramis, J.en
dc.date.accessioned2015-11-24T19:01:46Z
dc.date.available2015-11-24T19:01:46Z
dc.identifier.issn0896-8608-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19722
dc.rightsDefault Licence-
dc.subjectAgeden
dc.subjectColon/*blood supplyen
dc.subjectFatal Outcomeen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectIschemia/diagnosis/*etiology/therapyen
dc.subjectKidney Failure, Chronic/*complications/*therapyen
dc.subject*Peritoneal Dialysis, Continuous Ambulatoryen
dc.titleNonocclusive mesenteric ischemia: a lethal complication in peritoneal dialysis patientsen
heal.abstractNonocclusive mesenteric ischemia (NOMI) is a relatively uncommon disorder, seen primarily in elderly patients with cardiac disease, and is characterized by progressive intestinal ischemia leading to infarction, sepsis, and death. It is suspected of being the underlying cause in at least 20% - 30% of acute mesenteric ischemia patients. End-stage renal disease patients are among the highest risk populations for developing this lethal complication; however, NOMI is not unique to hemodialysis and can occur in peritoneal dialysis patients as well. Unfortunately, the presentation of NOMI is very similar to that of peritonitis. The key to correct diagnosis is a high index of suspicion in predisposed patients. The high mortality rate is a clear reflection of failure to recognize the syndrome at an earlier, treatable stage. We present our case experience and an extensive review of the literature regarding this dreadful complication that may be reversible if considered early as a possible etiology and the appropriate diagnostic maneuvers undertaken.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/17299146-
heal.journalNamePerit Dial Inten
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2007-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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