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Updated: Sep 18, 2025

Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

744

Editor's Choice - Incidence Rates of Arterial Occlusive Acute and Atherosclerotic Chronic Mesenteric Ischaemia: A

Eszter Bako1, Pasi Pengermä2, Erik Palm3

  • 1Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland; Heart Centre, Kuopio University Hospital, Kuopio, Finland.

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|June 24, 2025
PubMed

Insights

Acute mesenteric ischaemia (AMI) and chronic mesenteric ischaemia (CMI) incidence rates were determined. AMI is a key cause of abdominal pain in older adults, while atherosclerotic CMI is less common than previously thought.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Epidemiology

Background:

  • Mesenteric ischaemia, encompassing acute (AMI) and chronic (CMI) forms, represents a significant vascular emergency.
  • Understanding current incidence rates is crucial for public health planning and resource allocation.

Purpose of the Study:

  • To establish contemporary incidence rates for arterial occlusive acute mesenteric ischaemia (AMI) and chronic mesenteric ischaemia (CMI).
  • To stratify these rates by age, sex, and aetiology.
  • To compare incidence between sexes and age groups.

Main Methods:

  • A retrospective, population-based study was conducted in Eastern Finland (250,000 inhabitants) from 2009 to 2023.
  • Data included patients treated for arterial occlusive AMI or CMI.
  • Incidence rates were calculated and stratified, with age-standardized rates compared between sexes.

Main Results:

  • The incidence rate for occlusive arterial AMI was 3.7/100,000 person-years, and for CMI was 1.4/100,000 person-years.
  • In individuals aged 70 years and older, AMI incidence was 18.4/100,000 and CMI was 7.0/100,000.
  • Embolic AMI and CMI incidence were higher in females, while thrombotic AMI showed no sex difference.

Conclusions:

  • Acute mesenteric ischaemia should be considered in elderly patients presenting with acute abdominal pain.
  • The incidence of atherosclerotic CMI appears lower than previously reported in the literature.
Abstract

Keywords:
Acute mesenteric ischaemiaChronic mesenteric ischaemiaEmbolismEpidemiologyIncidenceThrombosis

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