Related Experiment Video
Updated: May 3, 2026
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review
Jacob J Gries1, Takashi Sakamoto2,3, Bing Chen4
1Department of Internal Medicine, Geisinger Medical Center, Danville, PA 17822, USA.
Abstract:
Mesenteric ischemia is a challenging condition characterized by insufficient blood perfusion to the mesentery and, consequently, intestinal tissues that continues to perplex clinicians. Despite its low prevalence, the condition's variable clinical presentation and elusive radiographic diagnosis can delay life-saving interventions in the acute setting and deteriorate the quality of life of patients when left undiagnosed or misdiagnosed.
Purpose:
Review and summarize recent diagnostic updates and emergent intervention strategies for acute and chronic mesenteric ischemia.
Methods:
A narrative review of all relevant studies from January 2022 through September 2023.
Results:
A total of 11 studies from MEDLINE, supplemented with 44 studies from Google Scholar, were included in the review.
Conclusions:
Both acute and chronic mesenteric ischemia propose diagnostic and therapeutic challenges for interventionalists. Computed tomographic angiography remains the diagnostic modality of choice for both. Open surgical intervention remains the gold standard for acute mesenteric ischemia, while endovascular techniques are preferred for chronic mesenteric ischemia.
Insights
Mesenteric ischemia diagnosis and treatment present challenges. Computed tomographic angiography is key for diagnosis, with surgery for acute cases and endovascular methods for chronic mesenteric ischemia.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Diagnostic Imaging
Background:
- Mesenteric ischemia, a condition of reduced blood flow to the intestines, poses diagnostic and therapeutic difficulties.
- Delayed diagnosis of mesenteric ischemia can lead to severe complications and reduced quality of life.
Purpose of the Study:
- To review and synthesize recent advancements in diagnosing and treating acute and chronic mesenteric ischemia.
- To highlight emergent intervention strategies for mesenteric ischemia.
Main Methods:
- A narrative review of studies published between January 2022 and September 2023.
- Literature search conducted using MEDLINE and Google Scholar.
Main Results:
- Eleven studies from MEDLINE and 44 from Google Scholar were included.
- Computed tomographic angiography is the preferred diagnostic tool for both acute and chronic mesenteric ischemia.
Conclusions:
- Mesenteric ischemia presents significant diagnostic and therapeutic challenges.
- Open surgical intervention is the standard for acute mesenteric ischemia.
- Endovascular techniques are the preferred approach for chronic mesenteric ischemia.
More Related Videos
04:57Author Spotlight: Advancing Spectral Characterization of Physiological and Malperfused Tissues
Published on: July 5, 2024
07:05Visualization of Neutrophil Extracellular Traps in Mesenteric Venules After Mesenteric Ischemia-Reperfusion Injury via Intravital Microscopy
Published on: September 27, 2024
