Document Detail


Chronic mesenteric ischemia: diagnosis and management.
MedLine Citation:
PMID:  21722785     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Chronic mesenteric ischemia (CMI) is the most common vascular disorder involving the intestines, however it is unusual in clinical practice. The redundancy of the visceral circulation with multiple interconnections between the superior mesenteric artery (SMA) and the inferior mesenteric artery (IMA) is the most likely explanation for the infrequent occurrence of CMI in clinical practice. Atherosclerosis is by the far the most common etiology of CMI. The increased utilization of diagnostic abdominal cross-sectional imaging has increased the recognition of atherosclerotic mesenteric stenoses. CMI is a clinical diagnosis, based upon symptoms and consistent anatomic findings. The classic setting for CMI is a female patient presenting with post-prandial abdominal discomfort that results in significant weight loss. Endovascular therapy with stenting has become the most common method chosen for revascularization having replaced open surgery with its associated morbidity and mortality.
Authors:
Christopher J White
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Progress in cardiovascular diseases     Volume:  54     ISSN:  1873-1740     ISO Abbreviation:  Prog Cardiovasc Dis     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-07-04     Completed Date:  2011-09-06     Revised Date:  2013-05-02    
Medline Journal Info:
Nlm Unique ID:  0376442     Medline TA:  Prog Cardiovasc Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  36-40     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Department of Cardiovascular Diseases, The John Ochsner Heart & Vascular Institute, Ochsner Clinic Foundation, New Orleans, LA 70121, USA. cwhite@ochsner.org
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MeSH Terms
Descriptor/Qualifier:
Diagnostic Imaging / methods
Endovascular Procedures / adverse effects,  instrumentation,  mortality
Humans
Ischemia / diagnosis,  mortality,  therapy
Mesenteric Vascular Occlusion / diagnosis*,  mortality,  therapy*
Patient Selection
Practice Guidelines as Topic
Predictive Value of Tests
Risk Assessment
Risk Factors
Stents
Treatment Outcome
Vascular Diseases / diagnosis,  mortality,  therapy
Vascular Surgical Procedures* / adverse effects,  mortality

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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