Clinical management of chronic mesenteric ischemia

Louisa J.D. van Dijk*, Desirée van Noord, Annemarie C. de Vries, Jeroen J. Kolkman, Robert H. Geelkerken, Hence J.M. Verhagen, Adriaan Moelker, Marco J. Bruno

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

3 Citations (Scopus)
4 Downloads (Pure)

Abstract

This: This Dutch Mesenteric Ischemia Study group consists of: Ron Balm, Academic Medical Center, Amsterdam Gert Jan de Borst, University Medical Center Utrecht, Utrecht Juliette T Blauw, Medisch Spectrum Twente, Enschede Marco J Bruno, Erasmus MC University Medical Center, Rotterdam Olaf J Bakker, St Antonius Hospital, Nieuwegein Louisa JD van Dijk, Erasmus MC University Medical Center, Rotterdam Hessel CJL Buscher, Gelre Hospitals, Apeldoorn Bram Fioole, Maasstad Hospital, Rotterdam Robert H Geelkerken, Medisch Spectrum Twente, Enschede Jaap F Hamming, Leiden University Medical Center, Leiden Jihan Harki, Erasmus MC University Medical Center, Rotterdam Daniel AF van den Heuvel, St Antonius Hospital, Nieuwegein Eline S van Hattum, University Medical Center Utrecht, Utrecht Jan Willem Hinnen, Jeroen Bosch Hospital, ‘s-Hertogenbosch Jeroen J Kolkman, Medisch Spectrum Twente, Enschede Maarten J van der Laan, University Medical Center Groningen, Groningen Kaatje Lenaerts, Maastricht University Medical Center, Maastricht Adriaan Moelker, Erasmus MC University Medical Center, Rotterdam Desirée van Noord, Franciscus Gasthuis & Vlietland, Rotterdam Maikel P Peppelenbosch, Erasmus MC University Medical Center, Rotterdam André S van Petersen, Bernhoven Hospital, Uden Pepijn Rijnja, Medisch Spectrum Twente, Enschede Peter J van der Schaar, St Antonius Hospital, Nieuwegein Luke G Terlouw, Erasmus MC University Medical Center, Rotterdam Hence JM Verhagen, Erasmus MC University Medical Center, Rotterdam Jean Paul PM de Vries, University Medical Center Groningen, Groningen Dammis Vroegindeweij, Maasstad Hospital, Rotterdam 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.

Original languageEnglish
Pages (from-to)179-188
Number of pages10
JournalUnited European gastroenterology journal
Volume7
Issue number2
DOIs
Publication statusPublished - 1 Mar 2019

Fingerprint

Mesenteric Ischemia
Mesenteric Arteries
Symptom Assessment
Constipation
Nausea
Abdominal Pain
Vomiting
Gastrointestinal Tract
Weight Loss
Early Diagnosis
Diarrhea
Pathologic Constriction
Ischemia
Quality of Life
Therapeutics

Keywords

  • UT-Hybrid-D
  • Chronic mesenteric ischemia
  • computed tomography angiography
  • endovascular therapy
  • median arcuate ligament syndrome
  • atherosclerosis

Cite this

van Dijk, L. J. D., Noord, D. V., de Vries, A. C., Kolkman, J. J., Geelkerken, R. H., Verhagen, H. J. M., ... Bruno, M. J. (2019). Clinical management of chronic mesenteric ischemia. United European gastroenterology journal, 7(2), 179-188. https://doi.org/10.1177/2050640618817698
van Dijk, Louisa J.D. ; Noord, Desirée van ; de Vries, Annemarie C. ; Kolkman, Jeroen J. ; Geelkerken, Robert H. ; Verhagen, Hence J.M. ; Moelker, Adriaan ; Bruno, Marco J. / Clinical management of chronic mesenteric ischemia. In: United European gastroenterology journal. 2019 ; Vol. 7, No. 2. pp. 179-188.
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abstract = "This: This Dutch Mesenteric Ischemia Study group consists of: Ron Balm, Academic Medical Center, Amsterdam Gert Jan de Borst, University Medical Center Utrecht, Utrecht Juliette T Blauw, Medisch Spectrum Twente, Enschede Marco J Bruno, Erasmus MC University Medical Center, Rotterdam Olaf J Bakker, St Antonius Hospital, Nieuwegein Louisa JD van Dijk, Erasmus MC University Medical Center, Rotterdam Hessel CJL Buscher, Gelre Hospitals, Apeldoorn Bram Fioole, Maasstad Hospital, Rotterdam Robert H Geelkerken, Medisch Spectrum Twente, Enschede Jaap F Hamming, Leiden University Medical Center, Leiden Jihan Harki, Erasmus MC University Medical Center, Rotterdam Daniel AF van den Heuvel, St Antonius Hospital, Nieuwegein Eline S van Hattum, University Medical Center Utrecht, Utrecht Jan Willem Hinnen, Jeroen Bosch Hospital, ‘s-Hertogenbosch Jeroen J Kolkman, Medisch Spectrum Twente, Enschede Maarten J van der Laan, University Medical Center Groningen, Groningen Kaatje Lenaerts, Maastricht University Medical Center, Maastricht Adriaan Moelker, Erasmus MC University Medical Center, Rotterdam Desir{\'e}e van Noord, Franciscus Gasthuis & Vlietland, Rotterdam Maikel P Peppelenbosch, Erasmus MC University Medical Center, Rotterdam Andr{\'e} S van Petersen, Bernhoven Hospital, Uden Pepijn Rijnja, Medisch Spectrum Twente, Enschede Peter J van der Schaar, St Antonius Hospital, Nieuwegein Luke G Terlouw, Erasmus MC University Medical Center, Rotterdam Hence JM Verhagen, Erasmus MC University Medical Center, Rotterdam Jean Paul PM de Vries, University Medical Center Groningen, Groningen Dammis Vroegindeweij, Maasstad Hospital, Rotterdam 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.",
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van Dijk, LJD, Noord, DV, de Vries, AC, Kolkman, JJ, Geelkerken, RH, Verhagen, HJM, Moelker, A & Bruno, MJ 2019, 'Clinical management of chronic mesenteric ischemia', United European gastroenterology journal, vol. 7, no. 2, pp. 179-188. https://doi.org/10.1177/2050640618817698

Clinical management of chronic mesenteric ischemia. / van Dijk, Louisa J.D.; Noord, Desirée van; de Vries, Annemarie C.; Kolkman, Jeroen J.; Geelkerken, Robert H.; Verhagen, Hence J.M.; Moelker, Adriaan; Bruno, Marco J.

In: United European gastroenterology journal, Vol. 7, No. 2, 01.03.2019, p. 179-188.

Research output: Contribution to journalReview articleAcademicpeer-review

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AU - van Dijk, Louisa J.D.

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van Dijk LJD, Noord DV, de Vries AC, Kolkman JJ, Geelkerken RH, Verhagen HJM et al. Clinical management of chronic mesenteric ischemia. United European gastroenterology journal. 2019 Mar 1;7(2):179-188. https://doi.org/10.1177/2050640618817698