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Updated: Dec 26, 2025

Multimodality Diagnosis of Mesenteric Ischemia
05:07

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Published on: July 21, 2023

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Review Article: Mesenteric Ischemia.

Karthik Gnanapandithan1, Paul Feuerstadt2,3

  • 1Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.

Current Gastroenterology Reports
|March 19, 2020
PubMed
Summary
This summary is machine-generated.

Diagnosing and treating mesenteric ischemia (MI), including acute (AMI) and chronic (CMI) forms, is crucial. Advancements in CT imaging and endovascular interventions offer improved outcomes for AMI and CMI patients.

Keywords:
Acute mesenteric ischemicChronic mesenteric ischemiaNon-occlusive mesenteric ischemiaSuperior mesenteric artery embolismSuperior mesenteric artery thrombosis

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Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Mesenteric ischemia (MI) presents diagnostic challenges, impacting patient outcomes.
  • Early diagnosis and prompt treatment are critical for both acute (AMI) and chronic (CMI) forms.

Purpose of the Study:

  • To summarize current diagnostic and treatment strategies for acute and chronic mesenteric ischemia.
  • To highlight recent advancements in imaging and management.

Main Methods:

  • Review of recent literature on computed tomography (CT) imaging.
  • Analysis of medical, endovascular, and surgical treatment modalities for AMI and CMI.

Main Results:

  • Computed tomography (CT) imaging has seen significant advancements for diagnosing MI.
  • Endovascular interventions demonstrate superior outcomes compared to open surgery for AMI and CMI in select populations, with lower mortality, morbidity, and costs.
  • Efficient clinical identification and targeted testing are key for diagnosis.

Conclusions:

  • Aggressive resuscitation and early intervention (endovascular or surgical) improve outcomes for AMI.
  • Identifying CMI through differential diagnosis and appropriate imaging allows for timely intervention, potentially halting disease progression.