Surgical management of mesenteric occlusive disease: a contemporary review of invasive and minimally invasive techniques.
Mesenteric ischemia (MI) is caused by compromised blood flow to the arteries supplying the small and large intestine. Acute occlusive mesenteric ischemia (AMI) presents with the abrupt onset of severe abdominal pain, which if not diagnosed and treated immediately can cause bowel necrosis and prove fatal. Chronic occlusive mesenteric ischemia (CMI) is usually a longstanding process characterized by postprandial abdominal pain, progressive food intolerance, and weight loss. If untreated, CMI can lead to progressive disability and failure to thrive. This review article highlights the clinical and radiologic diagnosis of acute mesenteric ischemia and CMI and compares their treatment with surgical revascularization and the less invasive alternative of mesenteric artery angioplasty and stenting.
Wain
Reese A
RA
Division of Vascular Surgery, Winthrop University Hospital, Mineola, New York 11501, USA. rwain@winthrop.org
Hines
George
G
D002908:Chronic Disease; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000601:surgery; D008638:Mesenteric Arteries / Q000601:surgery; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000601:surgery*; D008642:Mesenteric Veins / Q000601:surgery; D008643:Mesentery / Q000098:blood supply; D019060:Minimally Invasive Surgical Procedures; D014656:Vascular Surgical Procedures