prepared by: dr. mohamed al-shekhani. kurdistan board geh journal club
TRANSCRIPT
![Page 1: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/1.jpg)
Prepared by:Dr. Mohamed Al-Shekhani.
Kurdistan Board GEH Journal club.
![Page 2: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/2.jpg)
MOST OFTEN MISUNDERSTOOD BY GASTROENTEROLOGISTS .MAY OCCUR WITH OR WITHOUT DIGESTIVE VASCULAR OCCLUSION. WHATEVER THE MECHANISMS THE INCIDENCE IS INCREASING THE PROGNOSIS COULD BE IMPROVED BY AN INNOVATIVE MULTIMODAL &MULTIDISCIPLINARY MANAGEMENT INITIATED AT EARLY PRESENTATION.
![Page 3: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/3.jpg)
DIAGNOSIS MUST BE SUSPECTED WITH ANYSUDDEN, CONTINUOUS & UNUSUAL ABDOMINAL PAIN, CONTRASTING WITH NORMAL PHYSICAL EXAM INITIALY. THROMBO-ATHERO-EMBOLIC RISK FACTORS ARE OFTEN UNKNOWN AT PRESENTATION & NO BIOCHEMICAL TEST IS SPECIFIC. ABSENCE OF INDIVIDUAL RISK FACTORS OR NORMAL BIOLOGY MIGHT NOT DENY ORDELAY THE DIAGNOSIS, WHICH SHOULD BE CONFIRMED BY ABDOMINAL CT ANGIOGRAPHYIDENTIFYING GASTRO-INTESTINAL ISCHAEMIC INJURY, WITH OR WITHOUT VASCULAR OCCLUSION.
![Page 4: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/4.jpg)
GASTROENTEROLOGISTSHAVE A MAJOR ROLE IN THE MANAGEMENT, TO AVOID DEATH & LARGE INTESTINAL RESECTIONS, BY INITIATING & COORDINATING A MULTIDISCIPLINARY A/MULTIMODAL MANAGEMENT INCORPORATING A MEDICALPROTOCOL, REVASCULARIZATION OF VIABLE DIGESTIVE SEGMENTS&RESECTION OF NON-VIABLE INTESTINE. THERAPEUTIC STRATEGY DEPENDS ON THE PRESENCE OF AT LEAST ONE OF THREE CRITERIA (NECROSIS, ORGAN FAILURE, ORELEVATED SERUM LACTATE).
![Page 5: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/5.jpg)
IN THE EARLY STAGES, PATIENTS WITHOUT SURGICAL COMPLICATION, ORGAN FAILURE ORHIGH LACTATE LEVELS SHOULD BE TREATED MEDICALLY WITH ENDOVASCULAR REVASCULARIZATION WHENEVER POSSIBLE.
![Page 6: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/6.jpg)
AT LATER STAGES, SURGICAL MANAGEMENT REQUIRES BOTH RESECTION & REVASCULARIZATION. ANY FACTOR THAT MAY HAVE CONTRIBUTED TO THIS ISCHAEMIC STROKE (I.E ATHEROSCLEROSIS, CARDIAC EMBOLISM OR THROMBOPHILIA)SHOULD BE INVESTIGATED &TREATED, WITH PARTICULAR REFERENCE TO ISCHAEMIC COLITIS & NON-OCCLUSIVE MESENTERIC ISCHEMIA.
![Page 7: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/7.jpg)
![Page 8: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/8.jpg)
![Page 9: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/9.jpg)
![Page 10: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/10.jpg)
![Page 11: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/11.jpg)
![Page 12: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/12.jpg)
![Page 13: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/13.jpg)
![Page 14: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/14.jpg)
![Page 15: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/15.jpg)
![Page 16: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/16.jpg)
![Page 17: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/17.jpg)
![Page 18: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/18.jpg)
![Page 19: Prepared by: Dr. Mohamed Al-Shekhani. Kurdistan Board GEH Journal club](https://reader030.vdocument.in/reader030/viewer/2022013004/56649ebc5503460f94bc5cba/html5/thumbnails/19.jpg)
What’s Your Message?THANKS