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Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Ischemic bowel syndromes

Jose A Silva1, Christopher J White

  • 1Department of Cardiology, John Ochsner Heart and Vascular Institute, Ochsner Clinic Foundation, 1514 Jefferson Highway, New Orleans, LA 70118, USA.

Primary Care
|February 14, 2013
PubMed

Insights

Mesenteric ischemia, a condition affecting mesenteric arteries, presents acutely or chronically. This review covers causes, symptoms, diagnosis, and management of both acute mesenteric ischemia and chronic mesenteric ischemia.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Geriatric Medicine

Background:

  • Atherosclerotic vascular disease commonly affects mesenteric arteries in the elderly.
  • Mesenteric ischemia encompasses both acute (AMI) and chronic (CMI) forms.
  • Prevalence estimates suggest AMI affects 1 in 1000 hospital admissions, while CMI affects 1 in 100,000 individuals.

Purpose of the Study:

  • To discuss the etiology of mesenteric ischemia.
  • To outline the clinical manifestations of AMI and CMI.
  • To review diagnostic and management strategies for mesenteric ischemia.

Main Methods:

  • Literature review on atherosclerotic mesenteric vascular disease.
  • Synthesis of information on clinical presentation of acute and chronic mesenteric ischemia.
  • Compilation of current diagnostic and treatment approaches.

Main Results:

  • Chronic mesenteric ischemia typically presents as postprandial abdominal pain and weight loss.
  • Acute mesenteric ischemia is characterized by sudden abdominal pain, gastrointestinal bleeding, and potential intestinal necrosis.
  • Effective management strategies are crucial for both forms of the disease.

Conclusions:

  • Mesenteric ischemia requires prompt recognition and intervention.
  • Understanding the distinct presentations of AMI and CMI is vital for appropriate patient care.
  • This review provides a comprehensive overview for clinicians managing mesenteric vascular disease.

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