1,035 results match your criteria Chronic Mesenteric Ischemia


Prevalence and impact of malnutrition in patients surgically treated for chronic mesenteric ischemia.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of vascular surgery, Besançon University Hospital, Besançon, France; EA3920, Besançon University Hospital, Besançon, France. Electronic address:

Objectives: The patients suffering from chronic mesenteric ischemia are at risk of malnutrition due to the fear of food and the weight loss. However the impact of malnutrition on the morbi-mortality at the time of surgery remains little studied, just as its prevalence. The main objective of this study was to evaluate the influence of malnutrition on the survival of the patients operated for chronic mesenteric ischemia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096193023
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http://dx.doi.org/10.1016/j.avsg.2019.02.009DOI Listing
April 2019
1 Read

Laparoscopic Surgery in Chronic Mesenteric Ischaemia: Release of the Superior Mesenteric Artery from the Median Arcuate Ligament using the Transperitoneal Left Retrorenal Approach.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Vascular and Thoracic Surgery, Hôpital Bichat, and SURVI (Structure d'URgences Vasculaires Intestinales), Intestinal Stroke Center, Groupe Hospitalier Universitaire Paris Nord Val de Seine (GHUPNVS), Faculté de Médecine Denis Diderot, Paris 7, France.

Median arcuate ligament (MAL) syndrome usually involves the celiac artery (CA) only. Far less frequently, both the CA and superior mesenteric artery (SMA) are compressed, leading to chronic mesenteric ischaemia. We report the case of a 46-year-old woman with a 4-year history of permanent nausea, postprandial abdominal pain and asthenia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096193023
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http://dx.doi.org/10.1016/j.avsg.2019.01.009DOI Listing
April 2019
1 Read

A Rare Case of Ischemia-Reperfusion Injury After Mesenteric Revascularization.

Vasc Endovascular Surg 2019 Apr 14:1538574419839547. Epub 2019 Apr 14.

1 Department of Angiology and Vascular Surgery, Quirónsalud Málaga Hospital, Málaga, Spain.

Endovascular treatment of chronic mesenteric ischemia is currently the treatment of choice, regardless of the number of involved vessels. Unlike other anatomic areas, the hyperperfusion produced by revascularization and the consecutive reperfusion syndrome is only described in cases of acute bowel ischemia, which is usually resolved with traditional surgery. We present a case of severe hyperperfusion syndrome secondary to endovascular correction with stents of a critical ischemia affecting the celiac trunk and superior mesenteric artery. Read More

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http://journals.sagepub.com/doi/10.1177/1538574419839547
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http://dx.doi.org/10.1177/1538574419839547DOI Listing
April 2019
4 Reads

Non-occlusive mesenteric ischemia induced by a polyethylene glycol with ascorbate-based colonic bowel preparation.

Clin J Gastroenterol 2019 Apr 1. Epub 2019 Apr 1.

Department of Gastroenterology, NTT Medical Center Tokyo, 5-9-22 Higashi-Gotanda, Shinagawa-ku, Tokyo, 141-8625, Japan.

Although conventional bowel preparation for colonoscopy rarely causes serious complications, such complications can be fatal and, therefore, require early recognition and prompt treatment. Herein, we report a case of non-occlusive mesenteric ischemia (NOMI) induced by polyethylene glycol with an ascorbate component (PEG + Asc) that was used as a colonic bowel preparation. An- 82-year-old woman with a medical history of hypertension, atrial fibrillation and mild chronic renal failure received a cancer screening colonoscopy. Read More

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http://dx.doi.org/10.1007/s12328-019-00970-2DOI Listing
April 2019
3 Reads

Acute Kidney Failure in a Young African American Male.

Case Rep Nephrol 2019 17;2019:2591560. Epub 2019 Feb 17.

Olive View-UCLA Medical Center, Division of Nephrology and Hypertension, Los Angeles, CA 91342, USA.

Retroperitoneal fibrosis (RPF) is a condition characterized by chronic inflammatory and fibrotic changes in the retroperitoneum that can lead to serious complications including kidney failure, mesenteric and limb ischemia, and deep venous thrombosis among others. Affected individuals may present with nonspecific symptomology that would require a high clinical index of suspicion for prompt diagnosis. We herein discuss a case of a young African-American man with recurrent deep venous thrombosis who presents with a 4-week history of constant aching pain of abdomen and back and kidney failure. Read More

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https://www.hindawi.com/journals/crin/2019/2591560/
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http://dx.doi.org/10.1155/2019/2591560DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398077PMC
February 2019
4 Reads

Sclerosing Mesenteritis.

Am J Gastroenterol 2019 Feb 26. Epub 2019 Feb 26.

Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

Sclerosing mesenteritis is a rare non-neoplastic disorder characterized by fat necrosis, chronic inflammation, and fibrosis typically of the small bowel mesentery. Our understanding of this disorder is limited by its rarity as well as inconsistent terminology used across the literature. While prior abdominal surgery or trauma, autoimmunity, infection, ischemia, and malignancy have been suggested to be involved in the pathogenesis of the disorder, it remains poorly understood. Read More

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http://dx.doi.org/10.14309/ajg.0000000000000167DOI Listing
February 2019
5 Reads

Evaluation of endoscopic visible light spectroscopy: comparison with microvascular oxygen tension measurements in a porcine model.

J Transl Med 2019 Feb 28;17(1):65. Epub 2019 Feb 28.

Department of Anesthesiology, Laboratory for Experimental Anesthesiology, Erasmus MC University Medical Center, s Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.

Background: Visible light spectroscopy (VLS) is a technique used to measure the mucosal oxygen saturation during upper gastrointestinal endoscopy to evaluate mucosal ischemia, however in vivo validation is lacking. We aimed to compare VLS measurements with a validated quantitative microvascular oxygen tension (μPO) measurement technique.

Methods: Simultaneous VLS measurements and μPO measurements were performed on the small intestine of five pigs. Read More

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http://dx.doi.org/10.1186/s12967-019-1802-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396526PMC
February 2019
1 Read

"Aortoiliac-Mesenteric Steal Syndrome" Treated with Inferior Mesenteric to Common Iliac Artery Transposition.

Ann Vasc Surg 2019 Feb 22. Epub 2019 Feb 22.

Department of Vascular Surgery, Canberra Hospital, Garran, ACT, Australia.

We report the case of a 54-year-old female who presented with chronic mesenteric ischemia symptoms which could also be provoked on walking 50-100 m. Computed tomography angiography demonstrated ostial occlusion of all 3 mesenteric vessels, with extensive collateralization reconstituting the inferior mesenteric artery from the iliac arteries. As such, her abdominal pain was secondary to preferential flow to the lower limbs stealing from mesenteric vasculature. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.074DOI Listing
February 2019
2 Reads

Diagnosis, Development, and Treatment of Portal Vein Thrombosis in Patients With and Without Cirrhosis.

Gastroenterology 2019 May 13;156(6):1582-1599.e1. Epub 2019 Feb 13.

Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Cà Granda Ospedale Maggiore Policlinico, Angelo Bianchi Bonomi Hemophilia and Thrombosis Center and Fondazione Luigi Villa, Milano, Italy.

Portal vein thrombosis unrelated to solid malignancy is common in patients with cirrhosis, but less frequently observed in patients without cirrhosis. Prompt diagnosis and management of acute symptomatic portal vein thrombosis are essential. Failure to detect and treat thromboses can result in mesenteric ischemia, chronic cavernous transformation, and complications of portal hypertension. Read More

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http://dx.doi.org/10.1053/j.gastro.2019.01.265DOI Listing
May 2019
1 Read

Thirty-day readmission after endovascular or surgical revascularization for chronic mesenteric ischemia: Insights from the Nationwide Readmissions Database.

Vasc Med 2019 Feb 10:1358863X18816816. Epub 2019 Feb 10.

1 Cardiovascular Institute, Warren Alpert Medical School of Brown University, Providence, RI, USA.

There are limited contemporary data on readmission after revascularization for chronic mesenteric ischemia (CMI). This study aimed to determine the rates, reasons, predictors, and costs of 30-day readmission after endovascular or surgical revascularization for CMI. Patients with CMI discharged after endovascular or surgical revascularization during 2013 to 2014 were identified from the Nationwide Readmissions Database. Read More

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http://dx.doi.org/10.1177/1358863X18816816DOI Listing
February 2019
1 Read
1.732 Impact Factor

Effective kissing stent to severe stenosis of the superior mesenteric artery replacing the common hepatic artery.

CVIR Endovasc 2018 25;1(1):18. Epub 2018 Sep 25.

Department of Cardiovascular Surgery and Department of Cardiology, Yokohama Sakae Kyosai Hospital, 132, Katsuracho, Sakae-ku Yokohama-shi, Kanagawa 247-8581 Japan.

Background: Endovascular therapy (ET) for chronic mesenteric ischemia (CMI) is a effective treatment to relieve the symptoms, such as postprandial abdominal pain, food fear, and progressive weight loss. CMI is not known to be caused by rare anatomical variation of severe stenosis of the superior mesenteric artery (SMA), with replaced the common hepatic artery to the SMA. The treatment of such a rare anatomical variation using ET technique has not been discribed. Read More

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http://dx.doi.org/10.1186/s42155-018-0025-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319509PMC
September 2018
5 Reads

Indications to open surgical revascularization of visceral arteries in the endovascular era.

Rozhl Chir Winter 2018;97(11):487-492

Introduction: Due to the high success rate of endovascular procedures, open surgical treatment of visceral arteries has become rarer worldwide. Yet, open surgical techniques remain essential for cases of chronic mesenteric ischemia as well as in other clinical instances.

Methods: Drawing on their own experience and literary data, the authors summarize the indications to open surgical repair of the visceral arteries. Read More

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April 2019
8 Reads

Outcomes of antegrade and retrograde open mesenteric bypass for acute mesenteric ischemia.

J Vasc Surg 2019 01 29;69(1):129-140. Epub 2018 Jun 29.

Division of Vascular Surgery & Endovascular Therapy, University of Florida, Gainesville, Fla.

Background: Acute mesenteric ischemia (AMI) is a challenging clinical problem associated with significant morbidity and mortality. Few contemporary reports focus specifically on patients undergoing open mesenteric bypass (OMB) or delineate outcome differences based on bypass configuration. This is notable, because there is a subset of patients who are poor candidates for endovascular intervention including those with flush mesenteric vessel occlusion, long segment occlusive disease, and a thrombosed mesenteric stent and/or bypass. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.04.063DOI Listing
January 2019
12 Reads

Distal landing zone optimization before endovascular repair of aortic dissection.

J Thorac Cardiovasc Surg 2019 Jan 27;157(1):88-98. Epub 2018 Jul 27.

Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, Iowa.

Background: The general goals of endovascular management in chronic distal thoracic aortic dissection are optimizing the true lumen, maintaining branch patency, and promoting false lumen (FL) thrombosis. Distal seal can be challenging in chronic distal thoracic aortic dissection due to the well-established secondary fenestrations and fibrotic septum. We describe our approach of distal landing zone optimization (DLZO) to enable full-diameter contact of the distal endoprosthesis. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2018.06.095DOI Listing
January 2019
4 Reads

Intravascular Ultrasound-Assisted Endovascular Treatment of Mesenteric Malperfusion in a Multichannel Aortic Dissection With Full True Lumen Collapse.

J Endovasc Ther 2019 Feb 14;26(1):83-87. Epub 2018 Dec 14.

1 Department of Vascular Surgery, Zhongshan Hospital Fudan University, Shanghai, China.

Purpose: To describe endovascular treatment of mesenteric malperfusion in a multichannel aortic dissection (MCAD) with full true lumen (TL) collapse following thoracic endovascular aortic repair (TEVAR).

Case Report: A 54-year-old man presented with chronic mesenteric ischemia and a previous TEVAR for MCAD complicated by superior mesenteric artery (SMA) malperfusion. Computed tomography angiography (CTA) demonstrated a 3-channel aortic dissection with a "false-true-false" configuration. Read More

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http://dx.doi.org/10.1177/1526602818815821DOI Listing
February 2019
3 Reads

[Operative treatment of acute mesenteric ischaemia].

Magy Seb 2018 12;71(4):149-154

Általános, Ér- és Plasztikai Sebészeti Osztály, Markusovszky Egyetemi Oktatókórház 9700 Szombathely, Markusovszky Lajos u. 5.

Introduction: The incidence of acute mesenteric ischemia (AMI) appears to be increasing due to aging in the population with increasing prevalence of comorbidities. Despite the wide-scale availability of diagnostic technologies, the timely detection and correct treatment are not ensured. This is due to the fact that the required CT angiography is not immediately performed and that vascular surgical reconstruction can be performed within the short ischemic tolerance window of the bowels amounting 4-6 hours. Read More

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https://www.akademiai.com/doi/10.1556/1046.71.2018.4.1
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http://dx.doi.org/10.1556/1046.71.2018.4.1DOI Listing
December 2018
9 Reads

Patients with chronic mesenteric ischemia have an altered sublingual microcirculation.

Clin Exp Gastroenterol 2018 18;11:405-414. Epub 2018 Oct 18.

Department of Intensive Care, Erasmus MC University Medical Center, Rotterdam, the Netherlands.

Background: Little is known about the microcirculatory alterations in patients with chronic mesenteric ischemia (CMI). We hypothesized that patients with CMI have an impaired microcirculatory function and show an oral microcirculatory response after caloric challenge compared to healthy controls.

Methods: All patients and controls received the standard workup for CMI. Read More

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https://www.dovepress.com/patients-with-chronic-mesenteric-i
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http://dx.doi.org/10.2147/CEG.S159160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200368PMC
October 2018
17 Reads

ACR Appropriateness Criteria Imaging of Mesenteric Ischemia.

J Am Coll Radiol 2018 Nov;15(11S):S332-S340

Specialty Chair (Vascular), UMass Memorial Medical Center, Worcester, Massachusetts.

Mesenteric ischemia is an uncommon condition resulting from decreased blood flow to the small or large bowel in an acute or chronic setting. Acute ischemia is associated with high rates of morbidity and mortality; however, it is difficult to diagnose clinically. Therefore, a high degree of suspicion and prompt imaging evaluation are necessary. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15461440183116
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http://dx.doi.org/10.1016/j.jacr.2018.09.018DOI Listing
November 2018
18 Reads

[Assessment of a digestive malabsorption syndrome].

Rev Med Liege 2018 Oct;73(10):526-532

Service de Diabétologie, Nutrition et Maladies métaboliques, CHU Liège, Belgique.

Malabsorption syndrome is a complex clinical entity that needs to be carefully explored. Patients present frequently chronic diarrhoea associated with weight loss. These symptoms affect patient's quality of life. Read More

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October 2018
11 Reads

Use of REBOA to stabilize in-hospital iatrogenic intra-abdominal hemorrhage.

Trauma Surg Acute Care Open 2018 1;3(1):e000165. Epub 2018 Oct 1.

Department of Surgery, University of Texas Health Science Center at Houston, Memorial Hermann Hospital Red Duke Trauma Institute, Houston, Texas, USA.

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has become an increasingly popular alternative to emergency thoracotomy and aortic cross-clamping in patients with exsanguinating hemorrhage.1 This new capability is increasingly being used in non-trauma situations.2 3 This report demonstrates another novel use of REBOA for iatrogenic intra-abdominal hemorrhage. Read More

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http://tsaco.bmj.com/lookup/doi/10.1136/tsaco-2018-000165
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http://dx.doi.org/10.1136/tsaco-2018-000165DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173265PMC
October 2018
20 Reads

[Chronic Mesenteric Ischemia].

Authors:
Christian Heiss

Dtsch Med Wochenschr 2018 10 4;143(20):1426-1429. Epub 2018 Oct 4.

University of Surrey, Faculty of Health and Medical Science, Guildford, United Kingdom und Surrey and Sussex NHS Healthcare Trust, Redhill, United Kingdom.

Chronic mesenteric ischemia (CMI) is defined by stenoses or occlusions of the celiac artery, superior or inferior mesenteric artery. While it is mostly cause by atherosclerotic disease, less frequent cause in particular in younger patients are fibrowmuscular dysplasia or vasculitis. Risk factors include smoking, hypertension, dyslipidemia, higher age, and female sex. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0585-8049
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http://dx.doi.org/10.1055/a-0585-8049DOI Listing
October 2018
5 Reads

Use of long saphenous vein graft in acute on chronic mesenteric ischaemia.

BMJ Case Rep 2018 Sep 30;2018. Epub 2018 Sep 30.

Surgery, Medway Maritime Hospital, Gillingham, UK.

Acute mesenteric ischaemia is a relatively rare surgical emergency, but despite advances in diagnostic tests, the mortality of this condition remains stubbornly high (50%-80%). This is principally because of the non-specific nature of the presenting symptoms and subsequent delay in diagnosis. We report an unusual case of acute mesenteric ischaemia treated by emergency laparotomy, small bowel resection and revascularisation using reversed long saphenous vein graft. Read More

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http://dx.doi.org/10.1136/bcr-2018-225758DOI Listing
September 2018
1 Read

[Vascular surgical aspects in abdominal surgery : Results from a tertiary care center over a 10-year time period].

Chirurg 2019 Apr;90(4):307-317

Klinik für Allgemein‑, Viszeral-, Gefäß- und Transplantationschirurgie, Universitätsklinikum Magdeburg A. ö. R., Magdeburg, Deutschland.

Aim: To investigate the perioperative management and outcome of patients undergoing abdominal surgery with additional vascular (comorbid) alterations for internal quality assurance of the clinical results.

Methods: Over a defined study period all consecutive cases of the aforementioned profile were documented and retrospectively analyzed as part of an ongoing prospective monocentric observational study to reflect the daily surgical practice.

Results: Over 10 years (from January 1999 to December 2008), a total of 113 cases were registered. Read More

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http://dx.doi.org/10.1007/s00104-018-0726-yDOI Listing
April 2019
3 Reads

The Relationship between Intradialytic Hypotension and Hospitalized Mesenteric Ischemia: A Case-Control Study.

Clin J Am Soc Nephrol 2018 Oct 20;13(10):1517-1525. Epub 2018 Sep 20.

Division of Nephrology, Stanford University School of Medicine, Palo Alto, California;

Background And Objectives: Mesenteric ischemia is a rare but devastating condition caused by insufficient blood supply to meet the demands of intestinal metabolism. In patients with ESKD, it can be difficult to diagnose and has a >70% mortality rate. Patients on hemodialysis have a high prevalence of predisposing conditions for mesenteric ischemia, but the contribution of intradialytic hypotension, a potential modifiable risk factor, has not been well described. Read More

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http://dx.doi.org/10.2215/CJN.13891217DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218836PMC
October 2018
5 Reads

[The application of intestinal stomas in mesenteric ischemia].

Zhonghua Wai Ke Za Zhi 2018 Aug;56(8):603-606

Department of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing General Hospital of Nanjing Military Region, Nanjing 210002, China.

To evaluate the application of intestinal stomas in mesenteric ischemia (MI) according to the concept of damage control surgery. Clinical data of 59 MI patients received intestinal stomas at Jinling Hospital, Nanjing University School of Medicine from January 2010 to June 2017 were analyzed retrospectively. There were 41 male and 18 female patients aging of (51±14) years (ranging from 20 to 86 years). Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2018.08.010DOI Listing
August 2018
2 Reads

Anatomic Revascularization of the Celiac Trunk and the Superior Mesenteric Artery.

Aorta (Stamford) 2018 Feb 27;6(1):41-42. Epub 2018 Jul 27.

Department of Cardiovascular Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey.

Chronic atherosclerotic mesenteric ischemia is a debilitating disorder. It may cause postprandial abdominal pain leading to severe weight loss. Patients are usually emotionally affected with major depression. Read More

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http://dx.doi.org/10.1055/s-0038-1639378DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136676PMC
February 2018
2 Reads

The impact of psychiatric comorbidities on patient-reported surgical outcomes in adults treated for the median arcuate ligament syndrome.

J Vasc Surg 2018 11 29;68(5):1414-1421. Epub 2018 Jul 29.

Department of Psychiatry and Behavioral Neuroscience, University of Chicago Medicine, Chicago, Ill.

Objective: Median arcuate ligament syndrome (MALS) is an often overlooked, surgically correctable condition that mimics functional chronic abdominal pain. Patient-reported surgical outcomes are unpredictable in MALS. The objective of this study was to define the psychiatric comorbidities in a cohort of adults undergoing surgery for MALS and to determine whether these comorbidities are predictive of patient-reported quality of life (QOL) outcomes. Read More

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http://dx.doi.org/10.1016/j.jvs.2017.12.078DOI Listing
November 2018
8 Reads

Detection of mesenteric ischemia by means of endoscopic visible light spectroscopy after luminal feeding.

Gastrointest Endosc 2019 01 25;89(1):94-102. Epub 2018 Jul 25.

Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.

Background And Aims: Endoscopic visible light spectroscopy (VLS) enables measurement of mucosal oxygen saturation during upper GI endoscopy and is used in the diagnostic work-up of chronic mesenteric ischemia (CMI). Currently, VLS is performed when the patient has fasted. We aimed to determine whether food challenge improves the diagnostic performance of VLS measurements for the diagnosis of CMI. Read More

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http://dx.doi.org/10.1016/j.gie.2018.07.024DOI Listing
January 2019
4 Reads

Chronic visceral ischemia: An unusual cause of abdominal pain.

Turk J Surg 2018 3;34(2):158-161. Epub 2018 Jan 3.

Department of General Surgery, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey.

Chronic visceral ischemia is described as postprandial abdominal pain caused by intestinal hypoperfusion. Chronic visceral ischemia arising from the stenosis of major mesenteric arteries can cause death. Chronic abdominal pain, weight loss, and sitophobia are the major symptoms. Read More

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http://dx.doi.org/10.5152/turkjsurg.2017.3205DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048642PMC
January 2018
4 Reads

Intraobserver and interobserver reliability of visible light spectroscopy during upper gastrointestinal endoscopy.

Expert Rev Med Devices 2018 Aug 18;15(8):605-610. Epub 2018 Jul 18.

a Department of Gastroenterology and Hepatology , Erasmus MC University Medical Center , Rotterdam , The Netherlands.

Background: Visible light spectroscopy (VLS) performed during upper gastrointestinal endoscopy allows measuring mucosal oxygen saturation levels to determine gastrointestinal ischemia. We aimed to determine the observer variability of VLS.

Methods: This is a single-center prospective study of 24 patients planned for usual care upper endoscopy. Read More

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http://dx.doi.org/10.1080/17434440.2018.1496818DOI Listing
August 2018
4 Reads

Risk factors for perioperative mortality after revascularization for acute aortic occlusion.

J Vasc Surg 2018 12 23;68(6):1789-1795. Epub 2018 Jun 23.

Division of Vascular Surgery, Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pa.

Objective: Acute aortic occlusion (AAO) is a life-threatening event necessitating prompt revascularization to the pelvis and lower extremities. Because of its uncommon nature, outcomes after revascularization for AAO are not well characterized. Our aim was to describe the perioperative morbidity and mortality associated with revascularization and to identify the patients at highest risk. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.04.037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252122PMC
December 2018
4 Reads

Rectal varices due to chronic inferior mesenteric vein thrombosis caused by external compression in a large hiatus hernia containing the pancreas.

Ann R Coll Surg Engl 2018 Sep 18;100(7):e171-e173. Epub 2018 Jun 18.

Department of General Surgery, Stepping Hill Hospital , Stockport , UK.

A 79-year-old woman presented with a large fresh rectal bleed. Computed tomography revealed that she had a large type IV hiatus hernia, which contained the stomach and pancreas. Compression of the inferior mesenteric vein and splenic vein had led to thrombosis within these vessels and retrograde flow within the inferior mesenteric vein. Read More

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http://dx.doi.org/10.1308/rcsann.2018.0083DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214064PMC
September 2018
13 Reads

Randomized controlled trial of rivaroxaban versus warfarin in the management of acute non-neoplastic portal vein thrombosis.

Vascul Pharmacol 2019 Feb 7;113:86-91. Epub 2018 Jun 7.

Diagnostic Radiology, Tanta University, Egypt.

Background And Aim: Anticoagulation therapy is the main line of treatment for acute portal vein thrombosis (PVT) in the absence of cirrhosis. However, the use of this therapy in cirrhotic PVT is still with doubtful evidence. We aimed to evaluate the efficacy and safety of rivaroxaban compared to warfarin for the management of acute non-neoplastic PVT in Hepatitis C virus (HCV)-related compensated cirrhosis. Read More

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http://dx.doi.org/10.1016/j.vph.2018.05.002DOI Listing
February 2019
43 Reads
1 Citation
4.620 Impact Factor

Rapid reversal of colonic pneumatosis with restoration of mesenteric arterial supply.

Clin J Gastroenterol 2018 Dec 7;11(6):461-464. Epub 2018 Jun 7.

Banner Transplant and Advanced Liver Disease Center, Phoenix, AZ, USA.

Pneumatosis cystoides intestinalis (PCI) is characterized by gas-filled cystic lesions within the wall of the large intestine and presents along a spectrum of clinical severity ranging from benign to life threatening. Etiopathogenesis is multifactorial and postulated to result from either mechanical or bacterial causes. In this report, we present a patient with chronic abdominal pain evaluated with colonoscopy revealing segmental PCI isolated to the distal colon. Read More

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http://dx.doi.org/10.1007/s12328-018-0872-2DOI Listing
December 2018
4 Reads

[Operative revascularization of visceral arteries in chronic mesenteric ischemia].

Chirurg 2018 Aug;89(8):605-611

Klinik für Thorax- und Gefäßchirurgie, Angiologie, SRH Wald-Klinikum Gera, Str. des Friedens 122, 07548, Gera, Deutschland.

Chronic mesenteric ischemia (CMI) is mostly the result of atherosclerotic occlusive processes of unpaired mesenteric arteries. Operative procedures are preferred in cases of occlusion of a long vessel segments and/or highly calcified stenoses near the ostium. Frequently, bypasses are constucted from the aorta to visceral arteries and autologous veins should be preferred. Read More

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http://dx.doi.org/10.1007/s00104-018-0650-1DOI Listing
August 2018
4 Reads

"Mesenteric Steal" Physiology as a Cause of Claudication and Chronic Mesenteric Ischemia.

Ann Vasc Surg 2018 Aug 17;51:329.e1-329.e4. Epub 2018 May 17.

Vascular Medicine and Peripheral Vascular Intervention, North Central Heart Institute, Sioux Falls, SD.

Aortoiliac occlusive disease results in varying degrees of pelvic and lower extremity arterial insufficiency. Treatment approach has evolved, and endovascular therapies are being successfully reported for high-grade lesions. However, Trans Atlantic Inter-Society Consensus D often necessitates open revascularization. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.03.012DOI Listing
August 2018
6 Reads

[Modern treatment of mesenteric ischemia].

Presse Med 2018 Jun;47(6):519-530

AP-HP, hôpital Beaujon, structure d'urgence vasculaire intestinale (SURVI), service de gastroentérologie, MICI et assistance nutritive, 100, boulevard du Général-Leclerc, 92100 Clichy, France; Université Sorbonne-Paris Cité, 2, rue Albert-Einstein, 75013 Paris, France; Hôpital Bichat, Laboratory for Vascular Translationnal Science, Inserm U1148, 75018 Paris, France.

Acute mesenteric ischemia is a highly morbid affliction which requires urgent care. Acute mesenteric ischemia consists in an ischemia injury of the small bowel, secondary to vascular insufficiency, either occlusive (thrombosis, embolism, arterial, venous) or non-occlusive (low flow or vasospasm). Given that the superior mesenteric artery supplies the small bowel as well as the right part of the colon, any ischemic process involving the right colon should be considered an acute mesenteric ischemia until proven otherwise. Read More

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http://dx.doi.org/10.1016/j.lpm.2018.03.019DOI Listing
June 2018
2 Reads

Exertional Abdominal Pain as a Rare Presenting Manifestation of Chronic Mesenteric Ischemia from a Single Mesenteric Vessel Stenosis.

Ann Vasc Surg 2018 Aug 7;51:325.e1-325.e3. Epub 2018 Jun 7.

Department of Vascular Surgery, Baystate Medical Center, University of Massachusetts Medical School, Springfield, MA.

We present an atypical manifestation of chronic mesenteric ischemia in a patient with progressively worsening exertional abdominal pain. Imaging modalities revealed significant isolated stenosis of superior mesenteric artery (SMA). Successful angioplasty and stenting of SMA relieved patient's symptoms, thereby confirming the diagnosis of chronic mesenteric ischemia. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.01.105DOI Listing
August 2018
8 Reads

Acute Mesenteric Ischemia: Multidetector CT Findings and Endovascular Management.

Radiographics 2018 May-Jun;38(3):945-961

From the Department of Radiology, Koseikai Takeda Hospital, 841-5 Higashishiokoji-cho, Shimogyo-ku, Kyoto, Japan 600-8558 (S.K., K.F., Y.H.); Department of Radiological Sciences, Tokyo Metropolitan University, Tokyo, Japan (A.F., T.S., L.D.H.N., S.T.); Department of Radiology, Shiga University of Medical Science, Otsu, Japan (S.O., A.I.); and Department of Radiology, Osaka Saiseikai Noe Hospital, Osaka, Japan (T.H.).

Acute mesenteric ischemia is a rare life-threatening condition that accounts for approximately one in 1000 hospital admissions. The mortality rate is 50%-69% owing to the absence of specific symptoms and laboratory data, which makes early detection of this condition difficult. If the use of contrast material is possible, biphasic contrast material-enhanced multidetector computed tomography (CT) is the first-line imaging test for early diagnosis of the disease and for differentiation from other causes of acute abdomen. Read More

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http://dx.doi.org/10.1148/rg.2018170163DOI Listing
October 2018
16 Reads

Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia: Case Report and Endovascular Management.

Vasc Endovascular Surg 2018 Oct 1;52(7):561-564. Epub 2018 May 1.

4 Department of Radiology, Yashoda Hospitals, Secunderabad, Telangana, India.

We report the clinical details, imaging findings, and management for a 39-year-old female presenting with recurrent episodes of pain in abdomen due to systemic lupus erythematous vasculitis associated with spontaneous isolated inferior mesenteric dissection. Spontaneous mesenteric artery dissection is an uncommon cause of mesenteric ischemia. Symptomatic spontaneous isolated inferior mesenteric artery (IMA) dissection is a rare condition, and its association with systemic lupus erythematosus is not previously described in the English literature. Read More

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http://dx.doi.org/10.1177/1538574418773472DOI Listing
October 2018
17 Reads

What's new in short bowel syndrome?

Curr Opin Clin Nutr Metab Care 2018 07;21(4):313-318

Department of Gastroenterology and Nutrition Support, APHP Beaujon Hospital.

Purpose Of Review: Short bowel syndrome (SBS) is a rare disease but with many complications due to intestinal failure, parenteral nutrition and underlying disease. A better prevention, comprehension and treatment could improve the outcome of these patients.

Recent Findings: Recent studies have been published on acute intestinal failure, first cause of SBS, and gives us strategy to avoid extended intestinal resection and thus SBS. Read More

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http://dx.doi.org/10.1097/MCO.0000000000000473DOI Listing
July 2018
26 Reads

Frozen Elephant Trunk with E-Vita Open Hybrid Prosthesis for Surgical Correction of Multisegmental Thoracic Aortic Pathology: Review of Results.

Rev Port Cir Cardiotorac Vasc 2017 Jul-Dec;24(3-4):125

Hospital de Santa Marta, Portugal.

Introduction: The Frozen Elephant Trunk (FET) surgery allows correction of ascending, arch and proximal descending aortic pathology, using a hybrid prosthesis at the same time. It is a complex intervention and requires a multidisciplinary team that, besides scheduling and performing the surgery, accompanies the patient (pt) throughout the postoperative period.

Objectives: To review short and medium term clinical results with this technique. Read More

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July 2017
7 Reads

Superior mesenteric artery stenting using embolic protection device for treatment of acute or chronic mesenteric ischemia.

J Vasc Surg 2018 10 21;68(4):1071-1078. Epub 2018 Apr 21.

Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn.

Objective: The objective of the study was to report the feasibility and results of superior mesenteric artery (SMA) stenting using embolic protection devices (EPDs) to treat acute mesenteric ischemia (AMI) and chronic mesenteric ischemia (CMI).

Methods: A retrospective review was conducted of consecutive patients who underwent SMA stenting with EPDs from 2007 to 2016. EPDs were used selectively in patients with occlusions, severe calcification, or acute thrombus. Read More

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http://dx.doi.org/10.1016/j.jvs.2017.12.076DOI Listing
October 2018
16 Reads

Superior Mesenteric Artery-Pancreaticoduodenal Arcade Bypass Grafting for Repair of Inferior Pancreaticoduodenal Artery Aneurysm with Celiac Axis Occlusion.

Ann Vasc Dis 2018 Mar;11(1):153-157

Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital, Toyama, Japan.

We report a case of an aneurysm of the inferior pancreaticoduodenal artery (IPDA), with chronic occlusion of the celiac axis. Both surgical aneurysmectomy and endovascular coil embolization were anticipated to sacrifice IPDA, which could lead to severe acute ischemia in the celiac region. The treatment involved surgical ligation of the aneurysm after bypass grafting from the superior mesenteric artery to the anterior IPDA. Read More

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http://dx.doi.org/10.3400/avd.cr.17-00113DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882345PMC
March 2018
3 Reads

Celiac Plexus Block as a Predictor of Surgical Outcome for Sympathetically Mediated Abdominal Pain in a Case of Suspected Median Arcuate Ligament Syndrome: A Case Report.

A A Pract 2018 Aug;11(3):76-78

From the Departments of Anesthesiology and Perioperative Medicine.

Median arcuate ligament syndrome (MALS), also known as celiac artery compression syndrome, is an uncommon condition classically characterized by chronic abdominal pain, weight loss, and abdominal bruit. Chronic mesenteric ischemia caused by intermittent compression of the celiac artery by the MAL provokes upper abdominal pain that is sympathetically mediated via the celiac plexus. Because it is a diagnosis of exclusion, diagnosis of MALS in the clinical setting is typically challenging. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000743DOI Listing
August 2018
8 Reads

Arterial reconstructions for pediatric splanchnic artery occlusive disease.

J Vasc Surg 2018 10 3;68(4):1062-1070. Epub 2018 Apr 3.

Section of Vascular Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich.

Objective: Pediatric splanchnic arterial occlusive disease is uncommon and a rare cause of clinically relevant intestinal ischemia. This study was undertaken to better define the clinical manifestations and appropriate treatment of celiac artery (CA) and superior mesenteric artery (SMA) occlusive disease in children.

Methods: Clinical courses of 30 consecutive children undergoing operations for splanchnic arterial occlusive disease at the University of Michigan from 1992 to 2017 were retrospectively analyzed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07415214183026
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http://dx.doi.org/10.1016/j.jvs.2017.12.070DOI Listing
October 2018
10 Reads

Quality Improvement Guidelines for Mesenteric Angioplasty and Stent Placement for the Treatment of Chronic Mesenteric Ischemia.

J Vasc Interv Radiol 2018 05 21;29(5):642-647. Epub 2018 Mar 21.

Department of Radiology and Imaging Sciences, Division of Interventional Radiology and Image-Guided Medicine, Emory University, Atlanta, Georgia. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S10510443173107
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http://dx.doi.org/10.1016/j.jvir.2017.11.024DOI Listing
May 2018
10 Reads