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Book Review
August 1999

Intestinal Ischemia Disorders: Pathophysiology and Management

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Arch Surg. 1999;134(8):899-900. doi:

Patients with various manifestations of splanchnic ischemia, although not frequently encountered, may present to physicians of any clinical specialty, and their management is often frustrating. Not only is the diagnosis frequently very difficult to make but, once recognized, interventional therapies are only modestly successful because of the advanced nature of the lesions. Despite advances in diagnostic imaging and vascular interventional techniques and refinement in surgical therapies, the mortality associated with acute ischemia has remained appallingly high. Therefore, success in treating these diseases depends on early recognition of often subtle signs, facilitated by a high index of suspicion based on a thorough understanding of the pathophysiology and the clinical settings in which mesenteric ischemia occurs. Intestinal Ischemia Disorders: Pathophysiology and Management, edited by Drs Longo, Peterson, and Jacobs, is a comprehensive reference work that addresses all of these important aspects of splanchnic ischemia. The book is edited by surgeons; however, the intended audience includes physicians in all clinical specialties who need to keep these disorders in the differential diagnosis when they encounter patients with abdominal pain.

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