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Updated: Jan 18, 2026

Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

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Management and outcomes of chronic mesenteric ischemia in older adults: A comprehensive review

Yashashwini Sudina1, Hind Anan1, Joelle Daher2

  • 1UPMC Presbyterian Hospital, 200 Lothrop Street, South Tower, Third Floor, Pittsburgh, PA 15213.

Seminars in Vascular Surgery
|September 8, 2025
PubMed

Insights

Diagnosing and treating chronic mesenteric ischemia (CMI) in older adults is challenging due to aging factors and comorbidities. This review highlights age-specific strategies for better CMI patient outcomes.

Area of Science:

  • Vascular Surgery
  • Geriatric Medicine

Background:

  • Chronic mesenteric ischemia (CMI) is increasingly prevalent in older adults.
  • Diagnosis and treatment are complicated by comorbidities and age-related physiological changes.
  • Existing guidelines lack age-specific considerations for CMI management.

Purpose of the Study:

  • To review diagnostic strategies and management options for CMI specifically in older adults.
  • To identify challenges and propose age-specific approaches for CMI evaluation and treatment.

Main Methods:

  • Comprehensive literature review of diagnostic and management strategies for CMI in older adults.
  • Analysis of existing data on challenges, preoperative optimization, and risk stratification.

Main Results:

  • Older adults face unique diagnostic and therapeutic challenges for CMI.
  • Thorough preoperative assessment, early optimization, and geriatric risk stratification are crucial.
  • Limited data exist on long-term outcomes, nutrition, and quality of life post-intervention.

Conclusions:

  • Age-specific approaches are necessary for evaluating and treating older adults with CMI.
  • Further prospective studies are needed to address data gaps in long-term outcomes and quality of life.
  • Integrating frailty and geriatric indices can improve therapeutic decision-making and patient outcomes.

Keywords:
Chronic mesenteric ischemiaDiagnosisManagementOlder adultsOutcomes

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