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Mesenteric artery disease in the elderly.

Kimberley J Hansen1, David B Wilson, Timothy E Craven

  • 1Division of Surgical Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1095, USA. kjhansen@wfubmc.edu

Journal of Vascular Surgery
|June 26, 2004
PubMed
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Mesenteric artery stenosis (MAS) affects 17.5% of elderly Americans, with isolated celiac stenosis being most common. Stenosis and occlusion are linked to weight loss and renal artery disease.

Area of Science:

  • Vascular Medicine
  • Geriatric Medicine
  • Diagnostic Imaging

Background:

  • Mesenteric artery stenosis (MAS) is a condition affecting blood flow to the intestines.
  • Prevalence data in independent elderly populations are limited.
  • Early detection and understanding risk factors are crucial for managing this condition.

Purpose of the Study:

  • To estimate the population-based prevalence of mesenteric artery stenosis (MAS) and occlusion.
  • To identify associated demographic and clinical factors in independent elderly Americans.

Main Methods:

  • Visceral duplex sonography was performed on 553 elderly participants from the Cardiovascular Health Study (CHS) cohort.
  • Mesenteric artery stenosis (MAS) and occlusion were defined by specific velocity criteria and Doppler signals.

Related Experiment Videos

  • Logistic regression analysis was used to examine associations with demographic and clinical data.

    • Main Results:

    • Mesenteric artery stenosis (MAS) was present in 17.5% of the cohort (97 participants).
    • Isolated celiac stenosis was the most common finding (15.0% of cohort).
    • Renal artery stenosis and high-density lipoprotein levels were significantly associated with MAS; SMA stenosis and celiac occlusion were linked to weight loss and renal artery stenosis.

    Conclusions:

    • This study provides the first population-based prevalence estimate for mesenteric artery stenosis (MAS) in independent elderly Americans.
    • Mesenteric artery stenosis (MAS) is prevalent in this demographic, primarily affecting the celiac artery.
    • SMA stenosis and celiac artery occlusion are independently associated with weight loss and renal artery disease.