Outline the pathophysiology, assessment, and management of mesenteric ischaemia
Most candidates interpreted pathophysiology as causes, and so scored poorly on first section of the question. In general, there was a lack of specific knowledge, with many answers giving generic answers, and many answers were not at the required level of knowledge / expertise.
Trainees are reminded that the following "model answer" is hugely overcooked, it is much longer than anything the trainees could be expected to write under exam conditions, and it is left here more as a comprehensive list of all the possible things they could write rather than as a model for what they should write.
Pathophysiology: two classification systems, acute vs. chronic or occlusive vs. non-occlusive
Acosta, Stefan, and Martin Björck. "Modern treatment of acute mesenteric ischaemia." British Journal of Surgery 101.1 (2014).
Schofield, Nick, et al. "Acute mesenteric ischaemia." Journal of the Intensive Care Society 15.3 (2014): 226-230.
Pecoraro, Felice, et al. "Chronic mesenteric ischemia: critical review and guidelines for management." Annals of vascular surgery 27.1 (2013): 113-122.
Mastoraki, Aikaterini, et al. "Mesenteric ischemia: pathogenesis and challenging diagnostic and therapeutic modalities." World journal of gastrointestinal pathophysiology 7.1 (2016): 125.
Amini, Afshin, and Shivaraj Nagalli. "Bowel ischemia." StatPearls [Internet] (2020).
Bala, Miklosh, et al. "Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery." World Journal of Emergency Surgery 12.1 (2017): 1-11.
Hmoud, Bashar, Ashwani K. Singal, and Patrick S. Kamath. "Mesenteric venous thrombosis." Journal of clinical and experimental hepatology 4.3 (2014): 257-263.
Park, Woosup M., et al. "Contemporary management of acute mesenteric ischemia: factors associated with survival." Journal of vascular surgery 35.3 (2002): 445-452.
Leone, Marc, et al. "Outcome of acute mesenteric ischemia in the intensive care unit: a retrospective, multicenter study of 780 cases." Intensive care medicine 41.4 (2015): 667-676.