THE SURGICAL PATIENT: Edited by Craig CoopersmithAcute mesenteric ischaemiaReintam Blaser, Annikaa,b; Forbes, Alastaira; Björck, Martinc Author Information aInstitute of Clinical Medicine, University of Tartu, Tartu, Estonia bDepartment of Intensive Care Medicine, Lucerne Cantonal Hospital, Lucerne, Switzerland cDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden Correspondence to Annika Reintam Blaser, Puusepa 8, Tartu 50406, Estonia. Tel: +372 731 8405; e-mail: [email protected] Current Opinion in Critical Care: December 2022 - Volume 28 - Issue 6 - p 702-708 doi: 10.1097/MCC.0000000000000972 Buy Metrics Abstract Purpose of review To summarize the recent evidence on acute mesenteric ischaemia (AMI). Recent findings The overall incidence of AMI is below 10/100 000 person years but increases exponentially with age. The overall mortality of AMI remains high, exceeding 50%, despite continuing progress and increasing availability of imaging and endovascular interventions. However, patients with (early) revascularization have significantly better outcomes. The majority of patients surviving the acute event are still alive at 1 year, but evidence on quality of life is scarce. Clinical suspicion of AMI is the key to timely diagnosis, with biphasic computed tomography-angiography the diagnostic method of choice. Currently, no biomarker has sufficient specificity to diagnose AMI. Summary Improved awareness and knowledge of AMI are needed to raise the suspicion of AMI in relevant patients and thereby to achieve better outcomes. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.