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Updated: Jul 30, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Non-occlusive mesenteric ischemia during acute stroke management: three case reports
Kazuki Fujii1, Tadahiko Seki2, Yasuyuki Nakata2
1Nara Prefecture General Medical Center, 2-897-5, Schichijo Nishimachi, Nara, Nara, 630-8581, Japan. kazuki.fujii3@gmail.com.
Background:
There are many reports of non-occlusive mesenteric ischemia in patients on maintenance hemodialysis and following cardiac surgery. However, there are few reports of non-occlusive mesenteric ischemia in patients with acute stroke.
Case Presentation:
We report three cases of non-occlusive mesenteric ischemia with onset during treatment for acute stroke. All of the patients were undergoing strict blood-pressure control, and two patients developed NOMI soon after tracheostomy when enteral nutrition had been resumed.
Conclusion:
Many stroke patients are older adults with risk factors such as arteriosclerosis. Thus, during acute stroke management, there is a possibility that patients may develop non-occlusive mesenteric ischemia due to decreased intestinal blood flow secondary to strict blood-pressure control. This case report implicates early enteral nutrition as a potential etiopathogenic factor of non-occlusive mesenteric ischemia in patients with acute stroke.
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