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1.
Understand the anatomy and physiology of splanchnic circulation.
2.
Understand the pathophysiology of ischemic bowel disease.
3. Realize
the importance of differentiating superficial (mucosal and submucosal)
from deep (transmural) necrosis.
4. Be aware
of the risk factors that may lead to intestinal ischemia.
5. Develop
a high index of suspicion for the possibility of acute mesenteric
ischemia in an emergent patient with extremely severe
abdominal pain.
6. Learn to
act immediately when this condition is suspected, as delay may lead
to rapid necrosis of the bowel.
7.
Understand the value of the different imaging techniques used in acute
mesenteric ischemia.
8. Learn
the methods of management of acute mesenteric ischemia.
9. Become
aware of the possibility of chronic mesenteric ischemia in a certain
group of patients who present with unexplained
postprandial abdominal pain.
10. Learn
to consider nongangrenous ischemia in localized small bowel disease.
11. Suspect
nongangrenous ischemic colitis in patients with severe crampy
abdominal pain and hematochezia.
12. Learn
the risk factors that can lead to nongangrenous ischemic colitis.
13.
Understand the differences between imaging techniques used in
nongangrenous ischemic colitis and
those used in acute mesenteric
ischemia.
14. Learn
the problems involved in differentiating nongangrenous ischemic colitis
from inflammatory bowel disease or
infectious colitis.
15.
Understand the natural history and evolution of nongangrenous ischemic
colitis.
16. Learn
to be aware of possible progression of acute ongoing nongangrenous
disease to toxic megacolon and
occasionally to transmural necrosis.
17.
Understand the problems involved in managing nongangrenous ischemic
colitis during its acute and chronic
phases. |