Chronic Mesenteric Ischemia
Key Points
Key Points
- Chronic mesenteric ischemia (CMI) is caused by the failure to achieve postprandial intestinal blood flow resulting in an imbalance between the supply and demand for oxygen and other metabolites.
- This adverse hemodynamic event is typically caused by atherosclerotic occlusive disease at the orifices of the mesenteric vessels.
Diagnosis
...gnosis...
...nts with abdominal pain, weight loss, and...
...ommend making a diagnosis of CMI in patients wi...
...ng the mesenteric duplex ultrasound ex...
...using CT arteriography (CTA) as the pre...
Treatment
Treatm...
...ications for Treatment...
...ommend revascularization in patients with CMI t...
...end that total parenteral nutrition is not an acc...
...est that the SMA is the primary tar...
...e suggest that the celiac axis and infer...
...with symptoms consistent with CMI a...
In patients with symptoms consistent with CMI and...
...nd that asymptomatic patients with severe MAOD be...
In patients with severe MAOD involving t...
...n patients with combined MAOD and mese...
...oice of Treatmen...
...ce of treatment for patients with CMI should...
...endovascular revascularization as...
...end reserving open surgical revascularization for...
...eoperative Evalu...
...ndergoing revascularization for CMI sh...
...commend obtaining a CTA to delineate...
Endovascular Revascularization
...using balloon-expandable covered in...
...n Surgical Revascularization...
...of open surgical revascularization for...
Follow-up
Follow...
Surveillance and Re...
...ients undergoing revascularization for CMI...
Patients should be followed in the outpatient...
...veillance with mesenteric duplex ultrasound to...
...recommend performing a CTA or catheter-based...
...h recurrent symptoms of CMI, we recommend re...
...n select patients with asymptomatic recurre...
...that the choice of revascularization for r...