TY - JOUR
T1 - Clinical management of chronic mesenteric ischemia
AU - van Dijk, Louisa J.D.
AU - Noord, Desirée van
AU - de Vries, Annemarie C.
AU - Kolkman, Jeroen J.
AU - Geelkerken, Robert H.
AU - Verhagen, Hence J.M.
AU - Moelker, Adriaan
AU - Bruno, Marco J.
N1 - Sage deal
PY - 2019/3/1
Y1 - 2019/3/1
N2 -
This review provides an overview on the clinical
management of chronic mesenteric ischemia (CMI). CMI is defined as
insufficient blood supply to the gastrointestinal tract, most often
caused by atherosclerotic stenosis of one or more mesenteric arteries.
Patients classically present with postprandial abdominal pain and weight
loss. However, patients may present with, atypically, symptoms such as
abdominal discomfort, nausea, vomiting, diarrhea or constipation. Early
consideration and diagnosis of CMI is important to timely treat, to
improve quality of life and to prevent acute-on-chronic mesenteric
ischemia. The diagnosis of CMI is based on the triad of clinical
symptoms, radiological evaluation of the mesenteric vasculature and if
available, functional assessment of mucosal ischemia. Multidisciplinary
consensus on the diagnosis of CMI is of paramount importance to
adequately select patients for treatment. Patients with a consensus
diagnosis of single-vessel or multi-vessel atherosclerotic CMI are
preferably treated with endovascular revascularization.
AB -
This review provides an overview on the clinical
management of chronic mesenteric ischemia (CMI). CMI is defined as
insufficient blood supply to the gastrointestinal tract, most often
caused by atherosclerotic stenosis of one or more mesenteric arteries.
Patients classically present with postprandial abdominal pain and weight
loss. However, patients may present with, atypically, symptoms such as
abdominal discomfort, nausea, vomiting, diarrhea or constipation. Early
consideration and diagnosis of CMI is important to timely treat, to
improve quality of life and to prevent acute-on-chronic mesenteric
ischemia. The diagnosis of CMI is based on the triad of clinical
symptoms, radiological evaluation of the mesenteric vasculature and if
available, functional assessment of mucosal ischemia. Multidisciplinary
consensus on the diagnosis of CMI is of paramount importance to
adequately select patients for treatment. Patients with a consensus
diagnosis of single-vessel or multi-vessel atherosclerotic CMI are
preferably treated with endovascular revascularization.
KW - UT-Hybrid-D
KW - Chronic mesenteric ischemia
KW - Computed tomography angiography
KW - Endovascular therapy
KW - Median arcuate ligament syndrome
KW - Atherosclerosis
UR - http://www.scopus.com/inward/record.url?scp=85059309213&partnerID=8YFLogxK
U2 - 10.1177/2050640618817698
DO - 10.1177/2050640618817698
M3 - Review article
AN - SCOPUS:85059309213
SN - 2050-6406
VL - 7
SP - 179
EP - 188
JO - United European gastroenterology journal
JF - United European gastroenterology journal
IS - 2
ER -
