CLINICAL ASSESSMENT OF THE MANAGEMENT OF ACUTE MESENTERIC CIRCULATORY DISORDERS

Acute impairment of mesenteric circulation continues to be one of the most severe vascular conditions, characterized by persistently high mortality rates that have shown minimal decline over the past 15–20 years. This study analyzes the outcomes of surgical treatment in 84 patients with acute visceral blood flow disorders. In 52 (61.9%) cases, patients were diagnosed with acute thromboembolic or thrombotic occlusion involving the ostium and proximal segments of the superior mesenteric artery (SMA), while 32 (38.1%) patients exhibited thrombotic occlusion of its distal segments or intestinal branches. Mortality was observed in 24 (28.5%) cases. In patients with clinical suspicion of acute mesenteric ischemia, videolaparoscopy is recommended as an initial diagnostic approach to evaluate the abdominal cavity. Surgical procedures were carried out at various stages of disease progression.