What is the primary treatment for mesenteric infarct?

The primary treatment for mesenteric infarction is surgery, which is indicated due to the nature of the condition. Mesenteric infarction occurs when there is a sudden decrease in blood flow to the intestines, leading to tissue necrosis. The primary goal of treatment is to restore blood flow and remove any necrotic bowel tissue to prevent complications such as sepsis or further intestinal damage.

Surgical intervention is crucial because it allows for the identification of the infarcted sections of the bowel and potential revascularization of the remaining viable intestine. Resection of non-viable bowel is commonly necessary to prevent the progression of ischemia and associated complications.

While fluid resuscitation is an important supportive measure to manage hypovolemia and potential shock due to fluid loss and inflammation, it does not address the underlying issue of ischemia. Antibiotics may be used to prevent or treat infection, particularly if bowel necrosis has occurred, but they are not a primary treatment modality for the infarction itself. Medication management is generally insufficient in resolving the critical issues associated with mesenteric infarction, which makes surgery the definitive treatment approach.