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COSMOGI

An ESICM endorsed modified Delphi process.

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Category: Mesenteric microcirculation and barrier function

15 August 2023Mesenteric microcirculation and barrier function

Zonulin

Zonulin is a protein involved in the regulation of intestinal permeability by the regulation of intestinal tight junctions. Zonulin can be used as a biomarker of gastrointestinal function and inflammation in several diseases.  A study in critical care patients noted […]

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15 August 2023Mesenteric microcirculation and barrier function

TFF3

TFF3 is a small molecule peptide mainly secreted by the intestinal goblet cells. It exerts mucosal repair effects in the gastrointestinal tract. It can reduce intestinal permeability by regulation of tight junctions. TFF3 expression changes significantly in diseases such as […]

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15 August 2023Mesenteric microcirculation and barrier function

Intravital Microscopy

A diagnostic imaging technique that uses a microscope to visualize the microcirculation and cellular function in living tissue, which can be used to assess gastrointestinal function and injury. Feasibility/Equipment: Could theoretically be used at bedside, but requires specific equipment and […]

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15 August 2023Mesenteric microcirculation and barrier function

HBP

HPB is a neutrophil-derived granule protein, that has been shown to be a useful biomarker for predicting organ dysfunction in sepsis. In primary acute GI injury, such as abdominal trauma, the neutrophils of the damaged intestinal barrier release HBP. Sun […]

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15 August 2023Mesenteric microcirculation and barrier function

Diamine oxidase

Diamine oxidase is an enzyme involved in the metabolism, oxidation and inactivation of histamin and other polyamines. It has been suggested as a biomarker for evaluation of gastrointestinal tract toxicities during cancer treatment and gastrointestinal inflammation in inflammatory bowel disease. […]

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15 August 2023Mesenteric microcirculation and barrier function

Bacteremia with enteral microflora

Description: Bacteremia is the presence of bacteria in the bloodstream, which can cause systemic inflammatory response syndrome (SIRS), sepsis, or septic shock1. Bacteremia with enteral microflora refers to the translocation of bacteria from the gastrointestinal tract to the blood, which […]

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15 August 2023Mesenteric arterial circulation, Mesenteric microcirculation and barrier function, Mesenteric venous circulation

Upper GI Bleeding (Haematemesis or blood in gastric aspirate)

Upper gastrointestinal bleeding (UGIB) is a common medical emergency, with a reported mortality of 2-10%[1]. It is defined as hemorrhage originating from anywhere between the esophagus and the ligament of Treitz. It can present with hematemesis, melena, or hematochezia. Feasibility/Equipment: […]

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15 August 2023Mesenteric arterial circulation, Mesenteric microcirculation and barrier function

Lower GI Bleeding

Lower GI Bleeding Domain: Description: Lower gastrointestinal (GI) bleeding is any bleeding with a source distal to the ligament of Treitz. The clinical manifestation and outcome varies depending on the severity (i.e., from occult to massive), the site of bleeding […]

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15 August 2023Mesenteric arterial circulation, Mesenteric microcirculation and barrier function

I-FABP

I-FABP is released into the circulation when the enterocyte membrane is damaged and consequently has been proposed as a biomarker for gastrointestinal injury. Padar et al. (2021) and Reintam Blaser et al. (2021) did not find a significant association between […]

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15 August 2023Mesenteric arterial circulation, Mesenteric microcirculation and barrier function, Mesenteric venous circulation

Endoscopy

Endoscopy is a minimally invasive procedure that uses a flexible tube with a camera and light source (endoscope) to examine the interior of the gastrointestinal (GI) tract. Endoscopy can be used for both diagnostic and therapeutic purposes in critically ill […]

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