Managing mesenteric vasculitis.

Area of Science:

• Vascular Surgery
• Interventional Radiology
• Rheumatology

Background:

• Mesenteric vasculitis is a rare condition with potentially severe outcomes.
• Clinical diagnosis is challenging due to non-specific symptoms and biomarkers.
• Vascular imaging is crucial for noninvasive diagnosis, often avoiding biopsies.

Purpose of the Study:

• To review the diagnostic and therapeutic strategies for mesenteric vasculitis.
• To highlight the role of vascular imaging in diagnosis.
• To discuss medical, operative, and endovascular treatment options for vascular manifestations.

Main Methods:

• Review of current literature on mesenteric vasculitis diagnosis and management.
• Emphasis on noninvasive diagnostic techniques, particularly vascular imaging.
• Discussion of treatment modalities including medical, surgical, and endovascular approaches.

Main Results:

• Vascular imaging is the primary diagnostic tool for mesenteric vasculitis.
• Medical management controls inflammation but may not resolve vascular changes (aneurysms, occlusions).
• Surgical intervention is standard for focal disease, while multifocal disease presents challenges.

Conclusions:

• Mesenteric vasculitis requires a multidisciplinary approach.
• Endovascular treatments are increasingly utilized for symptomatic vasculitis.
• Interventionalists must understand indications and outcomes for treating associated occlusive disease and aneurysms.