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Updated: Jul 5, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Management of mesenteric vascular occlusion.
A F Hefny1, I Ahmed, F J Branicki
1Department of Surgery, Al-Ain Hospital, PO Box 1006, Al-Ain, United Arab Emirates.
Singapore Medical Journal
|April 18, 2008
Summary
Early diagnosis and treatment of mesenteric vascular occlusion (MVO) are crucial for survival. Prompt anticoagulation and surgery when needed improve patient outcomes in this serious condition.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Abdominal Imaging
Background:
- Mesenteric vascular occlusion (MVO) is a critical condition affecting blood supply to the intestines.
- Clinical management strategies for MVO require continuous evaluation to improve patient outcomes.
Purpose of the Study:
- To evaluate the recent clinical management of mesenteric vascular occlusion (MVO) at Al-Ain Hospital.
- To analyze patient data regarding diagnosis, treatment, and outcomes of MVO.
Main Methods:
- A retrospective study was conducted from December 2001 to May 2005.
- Patient records were analyzed for clinical features, risk factors, diagnostic methods, treatments, and outcomes.
- Contrast-enhanced computed tomography (CECT) was utilized for diagnosis.
Main Results:
- 14 patients were studied, with 7 experiencing mesenteric venous thrombosis (MVT) and 5 mesenteric arterial occlusion (MAO).
- Ischemic heart disease with atrial fibrillation was the main risk factor for MAO (80%).
- CECT was diagnostic in 86% of patients; 50% underwent surgery, with a 7% overall mortality rate. Conservative management was successful in 50% of patients.
Conclusions:
- Early diagnosis of MVO is essential for favorable outcomes.
- Prompt initiation of anticoagulation therapy is a key component of management.
- Surgical intervention should be considered when indicated to improve patient prognosis.
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