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Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

1.3K

Mesenteric Ischemia.

Robin M Lawson1

  • 1Academic Programs, The University of Alabama, Capstone College of Nursing, 650 University Boulevard, East, Tuscaloosa, AL 35401, USA.

Critical Care Nursing Clinics of North America
|February 8, 2018
PubMed
Summary
This summary is machine-generated.

Mesenteric ischemia, a condition of inadequate blood flow to the intestines, can lead to bowel necrosis. Early diagnosis with CT angiography and endovascular therapy are crucial for treating acute mesenteric ischemia (AMI).

Keywords:
Acute mesenteric ischemiaArterial embolismArterial thrombosisChronic mesenteric ischemiaMesenteric venous thrombosisNonocclusive mesenteric ischemia

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Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Radiology

Background:

  • Mesenteric ischemia is a rare condition, primarily affecting the elderly.
  • It stems from insufficient blood flow in the mesenteric circulation, potentially causing bowel necrosis.
  • Mesenteric ischemia is classified into acute (AMI) and chronic (CMI) types, with delayed CMI diagnosis risking progression to AMI.

Purpose of the Study:

  • To summarize the pathophysiology and clinical presentation of mesenteric ischemia.
  • To highlight the diagnostic and therapeutic recommendations for acute mesenteric ischemia.

Main Methods:

  • Literature review of mesenteric ischemia, focusing on diagnosis and treatment.
  • Emphasis on computed tomography angiography (CTA) for early detection.
  • Discussion of endovascular therapy as a primary treatment modality.

Main Results:

  • Acute mesenteric ischemia (AMI) carries a high mortality rate.
  • Delayed diagnosis of chronic mesenteric ischemia (CMI) can precipitate AMI.
  • Computed tomography angiography (CTA) enables early diagnosis.
  • Endovascular therapy offers prompt revascularization.

Conclusions:

  • Early diagnosis of mesenteric ischemia is critical.
  • Computed tomography angiography (CTA) is the recommended diagnostic tool.
  • Endovascular therapy is advised for symptomatic patients without bowel necrosis to prevent mortality.