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Insufficiency, Mesenteric Vascular

MedGen UID:
730610
•Concept ID:
C1412000
•
Disease or Syndrome
Synonyms: Insufficiencies, Mesenteric Vascular; Ischemia, Mesenteric; Ischemias, Mesenteric; Mesenteric Ischemia; Mesenteric Ischemias; Mesenteric Vascular Insufficiencies; Mesenteric Vascular Insufficiency; Vascular Insufficiencies, Mesenteric; Vascular Insufficiency, Mesenteric

Definition

Ischemic tissue injury produced by insufficient perfusion of intestinal tissue by the MESENTERIC CIRCULATION (i.e., CELIAC ARTERY; SUPERIOR MESENTERIC ARTERY; INFERERIOR MESENTERIC ARTERY; and MESENTERIC VEINS). It can progress from ISCHEMIA; EDEMA; and GANGRENE of the bowel wall to PERITONITIS and cardiovascular collapse. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVInsufficiency, Mesenteric Vascular

Professional guidelines

PubMed

ACR Appropriateness Criteria(®) Radiologic Management of Mesenteric Ischemia.
Expert Panel on Interventional Radiology:, Fidelman N, AbuRahma AF, Cash BD, Kapoor BS, Knuttinen MG, Minocha J, Rochon PJ, Shaw CM, Ray CE Jr, Lorenz JM
J Am Coll Radiol 2017 May;14(5S):S266-S271. doi: 10.1016/j.jacr.2017.02.014. PMID: 28473083
Management of chronic mesenteric vascular insufficiency: an endovascular approach.
Schoch DM, LeSar CJ, Joels CS, Erdoes LS, Sprouse LR, Fugate MW, Greer MS, Fisher DF, Mixon H, Hogan M, Burns RP
J Am Coll Surg 2011 Apr;212(4):668-75; discussion 675-7. doi: 10.1016/j.jamcollsurg.2010.12.043. PMID: 21463809
Mesenteric vascular insufficiency. Identification and management.
Stemmer EA, Connolly JE
Calif Med 1973 Mar;118(3):18-29. PMID: 4144385Free PMC Article

Recent clinical studies

Etiology

An Update on Acute Mesenteric Ischemia.
Yu H, Kirkpatrick IDC
Can Assoc Radiol J 2023 Feb;74(1):160-171. Epub 2022 May 11 doi: 10.1177/08465371221094280. PMID: 35544414
Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery.
Bala M, Catena F, Kashuk J, De Simone B, Gomes CA, Weber D, Sartelli M, Coccolini F, Kluger Y, Abu-Zidan FM, Picetti E, Ansaloni L, Augustin G, Biffl WL, Ceresoli M, Chiara O, Chiarugi M, Coimbra R, Cui Y, Damaskos D, Di Saverio S, Galante JM, Khokha V, Kirkpatrick AW, Inaba K, Leppäniemi A, Litvin A, Peitzman AB, Shelat VG, Sugrue M, Tolonen M, Rizoli S, Sall I, Beka SG, Di Carlo I, Ten Broek R, Mircea C, Tebala G, Pisano M, van Goor H, Maier RV, Jeekel H, Civil I, Hecker A, Tan E, Soreide K, Lee MJ, Wani I, Bonavina L, Malangoni MA, Koike K, Velmahos GC, Fraga GP, Fette A, de'Angelis N, Balogh ZJ, Scalea TM, Sganga G, Kelly MD, Khan J, Stahel PF, Moore EE
World J Emerg Surg 2022 Oct 19;17(1):54. doi: 10.1186/s13017-022-00443-x. PMID: 36261857Free PMC Article
Ischemic bowel disease in 2021.
Ahmed M
World J Gastroenterol 2021 Aug 7;27(29):4746-4762. doi: 10.3748/wjg.v27.i29.4746. PMID: 34447224Free PMC Article
Median arcuate ligament syndrome.
Goodall R, Langridge B, Onida S, Ellis M, Lane T, Davies AH
J Vasc Surg 2020 Jun;71(6):2170-2176. Epub 2019 Dec 25 doi: 10.1016/j.jvs.2019.11.012. PMID: 31882314
Managing mesenteric vasculitis.
Angle JF, Nida BA, Matsumoto AH
Tech Vasc Interv Radiol 2015 Mar;18(1):38-42. Epub 2014 Dec 29 doi: 10.1053/j.tvir.2014.12.006. PMID: 25814202

Diagnosis

Mesenteric venous thrombosis.
Demelo-Rodríguez P, Ordieres-Ortega L, Oblitas CM
Med Clin (Barc) 2023 May 12;160(9):400-406. Epub 2023 Feb 26 doi: 10.1016/j.medcli.2023.01.020. PMID: 36849315
An Update on Acute Mesenteric Ischemia.
Yu H, Kirkpatrick IDC
Can Assoc Radiol J 2023 Feb;74(1):160-171. Epub 2022 May 11 doi: 10.1177/08465371221094280. PMID: 35544414
Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery.
Bala M, Catena F, Kashuk J, De Simone B, Gomes CA, Weber D, Sartelli M, Coccolini F, Kluger Y, Abu-Zidan FM, Picetti E, Ansaloni L, Augustin G, Biffl WL, Ceresoli M, Chiara O, Chiarugi M, Coimbra R, Cui Y, Damaskos D, Di Saverio S, Galante JM, Khokha V, Kirkpatrick AW, Inaba K, Leppäniemi A, Litvin A, Peitzman AB, Shelat VG, Sugrue M, Tolonen M, Rizoli S, Sall I, Beka SG, Di Carlo I, Ten Broek R, Mircea C, Tebala G, Pisano M, van Goor H, Maier RV, Jeekel H, Civil I, Hecker A, Tan E, Soreide K, Lee MJ, Wani I, Bonavina L, Malangoni MA, Koike K, Velmahos GC, Fraga GP, Fette A, de'Angelis N, Balogh ZJ, Scalea TM, Sganga G, Kelly MD, Khan J, Stahel PF, Moore EE
World J Emerg Surg 2022 Oct 19;17(1):54. doi: 10.1186/s13017-022-00443-x. PMID: 36261857Free PMC Article
Ischemic bowel disease in 2021.
Ahmed M
World J Gastroenterol 2021 Aug 7;27(29):4746-4762. doi: 10.3748/wjg.v27.i29.4746. PMID: 34447224Free PMC Article
Review Article: Mesenteric Ischemia.
Gnanapandithan K, Feuerstadt P
Curr Gastroenterol Rep 2020 Mar 17;22(4):17. doi: 10.1007/s11894-020-0754-x. PMID: 32185509

Therapy

Mesenteric venous thrombosis.
Demelo-Rodríguez P, Ordieres-Ortega L, Oblitas CM
Med Clin (Barc) 2023 May 12;160(9):400-406. Epub 2023 Feb 26 doi: 10.1016/j.medcli.2023.01.020. PMID: 36849315
Management of Acute Mesenteric Venous Thrombosis: A Systematic Review of Contemporary Studies.
Acosta S, Salim S
Scand J Surg 2021 Jun;110(2):123-129. Epub 2020 Oct 29 doi: 10.1177/1457496920969084. PMID: 33118463Free PMC Article
Median arcuate ligament syndrome.
Goodall R, Langridge B, Onida S, Ellis M, Lane T, Davies AH
J Vasc Surg 2020 Jun;71(6):2170-2176. Epub 2019 Dec 25 doi: 10.1016/j.jvs.2019.11.012. PMID: 31882314
Managing mesenteric vasculitis.
Angle JF, Nida BA, Matsumoto AH
Tech Vasc Interv Radiol 2015 Mar;18(1):38-42. Epub 2014 Dec 29 doi: 10.1053/j.tvir.2014.12.006. PMID: 25814202
Chronic mesenteric ischemia.
Wilkins LR, Stone JR
Tech Vasc Interv Radiol 2015 Mar;18(1):31-7. Epub 2014 Dec 29 doi: 10.1053/j.tvir.2014.12.005. PMID: 25814201

Prognosis

Insights into acute mesenteric ischaemia: an up-to-date, evidence-based review from a mesenteric stroke centre unit.
Garzelli L, Ben Abdallah I, Nuzzo A, Zappa M, Corcos O, Dioguardi Burgio M, Cazals-Hatem D, Rautou PE, Vilgrain V, Calame P, Ronot M
Br J Radiol 2023 Nov;96(1151):20230232. Epub 2023 Jul 26 doi: 10.1259/bjr.20230232. PMID: 37493183Free PMC Article
Management of Acute Mesenteric Venous Thrombosis: A Systematic Review of Contemporary Studies.
Acosta S, Salim S
Scand J Surg 2021 Jun;110(2):123-129. Epub 2020 Oct 29 doi: 10.1177/1457496920969084. PMID: 33118463Free PMC Article
Managing mesenteric vasculitis.
Angle JF, Nida BA, Matsumoto AH
Tech Vasc Interv Radiol 2015 Mar;18(1):38-42. Epub 2014 Dec 29 doi: 10.1053/j.tvir.2014.12.006. PMID: 25814202
Chronic mesenteric ischemia.
Wilkins LR, Stone JR
Tech Vasc Interv Radiol 2015 Mar;18(1):31-7. Epub 2014 Dec 29 doi: 10.1053/j.tvir.2014.12.005. PMID: 25814201
Acute mesenteric ischemia.
Sise MJ
Surg Clin North Am 2014 Feb;94(1):165-81. doi: 10.1016/j.suc.2013.10.012. PMID: 24267504

Clinical prediction guides

Managing mesenteric vasculitis.
Angle JF, Nida BA, Matsumoto AH
Tech Vasc Interv Radiol 2015 Mar;18(1):38-42. Epub 2014 Dec 29 doi: 10.1053/j.tvir.2014.12.006. PMID: 25814202
Chronic mesenteric ischemia.
Wilkins LR, Stone JR
Tech Vasc Interv Radiol 2015 Mar;18(1):31-7. Epub 2014 Dec 29 doi: 10.1053/j.tvir.2014.12.005. PMID: 25814201
Acute mesenteric ischemia.
Stone JR, Wilkins LR
Tech Vasc Interv Radiol 2015 Mar;18(1):24-30. Epub 2014 Dec 29 doi: 10.1053/j.tvir.2014.12.004. PMID: 25814200
Mesenteric ischemia.
Acosta S
Curr Opin Crit Care 2015 Apr;21(2):171-8. doi: 10.1097/MCC.0000000000000189. PMID: 25689121
Mesenteric ischemia.
Ujiki M, Kibbe MR
Perspect Vasc Surg Endovasc Ther 2005 Dec;17(4):309-18. doi: 10.1177/153100350501700405. PMID: 16389425

Recent systematic reviews

Incidence and outcomes of acute mesenteric ischaemia: a systematic review and meta-analysis.
Tamme K, Reintam Blaser A, Laisaar KT, Mändul M, Kals J, Forbes A, Kiss O, Acosta S, Bjørck M, Starkopf J
BMJ Open 2022 Oct 25;12(10):e062846. doi: 10.1136/bmjopen-2022-062846. PMID: 36283747Free PMC Article
Management of Acute Mesenteric Venous Thrombosis: A Systematic Review of Contemporary Studies.
Acosta S, Salim S
Scand J Surg 2021 Jun;110(2):123-129. Epub 2020 Oct 29 doi: 10.1177/1457496920969084. PMID: 33118463Free PMC Article
Acute abdominal pain in older adults: a clinical and diagnostic challenge.
Sangiorgio G, Biondi A, Basile F, Vacante M
Minerva Chir 2020 Jun;75(3):169-172. doi: 10.23736/S0026-4733.20.08266-8. PMID: 32550726
A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction.
Rami Reddy SR, Cappell MS
Curr Gastroenterol Rep 2017 Jun;19(6):28. doi: 10.1007/s11894-017-0566-9. PMID: 28439845
Systematic review and meta-analysis of endovascular treatment for acute mesenteric ischaemia.
El Farargy M, Abdel Hadi A, Abou Eisha M, Bashaeb K, Antoniou GA
Vascular 2017 Aug;25(4):430-438. Epub 2017 Jan 25 doi: 10.1177/1708538116689353. PMID: 28121281

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