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Mesenteric ischemia

W D Foley1

  • 1Section of Digital Imaging, Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA.

Ultrasound Quarterly
|September 16, 2003
PubMed

Insights

Mesenteric ischemia, a growing concern in aging populations, presents acutely with pain and lactic acidosis or chronically mimicking malignancy. This review evaluates diagnostic imaging, including Doppler sonography, for mesenteric arterial insufficiency.

Area of Science:

  • Vascular Surgery
  • Diagnostic Imaging
  • Gastroenterology

Background:

  • Mesenteric ischemia is increasingly prevalent due to population aging.
  • Acute mesenteric ischemia often presents with abdominal pain, lactic acidosis, and organ dysfunction.
  • Chronic mesenteric ischemia can mimic malignancy due to arterial stenosis.

Purpose of the Study:

  • To review the role of diagnostic imaging in suspected acute mesenteric ischemia.
  • To evaluate imaging modalities for mesenteric arterial insufficiency.
  • To emphasize diagnostic criteria and clinical application.

Main Methods:

  • Review of current literature on diagnostic imaging for mesenteric ischemia.
  • Emphasis on Doppler sonography.
  • Evaluation of other imaging tests.

Main Results:

  • Diagnostic imaging plays a crucial role in identifying mesenteric ischemia.
  • Doppler sonography offers valuable insights into mesenteric arterial flow.
  • Specific imaging criteria aid in diagnosis.

Conclusions:

  • Accurate diagnosis of mesenteric ischemia relies on appropriate imaging selection.
  • Doppler sonography is a key tool for evaluating mesenteric arterial insufficiency.
  • Understanding diagnostic criteria improves patient outcomes.

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