INGUSH STATE UNIVERSITY, MAGAS, REPUBLIC OF INGUSHETIA, RUSSIAN FEDERATION

Dolakov Ibrahim Gapurovich, Gezgieva Raishat Karimovna, Daskieva Khava Vakhaevna, Shadieva Yasmina Magometovna, Chemurzieva Amina Muratovna

Acute mesenteric ischemia remains a pressing problem in abdominal and vascular surgery. Acute mesenteric ischemia is accompanied by high mortality, acute arterial ischemia predominates, with occlusion of the superior mesenteric artery, which causes extensive intestinal damage and requires extensive resections, sometimes incompatible with life. Since it is arterial ischemia that is accompanied by high mortality, an analysis of arterial acute mesenteric ischemia was carried out. There are no specific markers of intestinal ischemia and pathognomonic clinical signs. Timely diagnosis is possible only with the widespread early use of computed tomographic angiography in all patients with suspected acute mesenteric ischemia. In the surgical treatment of acute mesenteric ischemia, for revascularization of the B stage of ischemia, it is necessary to use endovascular techniques; in the necrosis stage, resection in combination with vascular ones. Early computed tomographic angiography allows for timely diagnosis of acute mesenteric ischemia in the early stages, and the widespread use of endovascular revascularization allows for the entire complex of vascular interventions, which will significantly improve the results of treatment of this pathology.

Keywords:intestinal infarction, embolism, thrombosis, peritonitis, endovascular treatment, surgery