1,224 results match your criteria Chronic Mesenteric Ischemia


A case of a common iliac-mesenteric bypass for chronic mesenteric ischemia with coral reef aorta after common iliac endarterectomy.

J Vasc Surg Cases Innov Tech 2022 Jun 12;8(2):293. Epub 2022 Apr 12.

Division of Vascular and Endovascular Surgery, University of Arkansas for Medical Sciences, Little Rock, AR.

View Article and Full-Text PDF

A rare case of acute mesenteric ischaemia and duodenal ulcer perforation together in a single patient in a tertiary care hospital.

J Pak Med Assoc 2022 Apr;72(4):755-757

Department of Surgery, Mayo Hospital, Lahore, Pakistan.

A 57 years old male presented in the emergency department of EAST Surgical Ward, MAYO Hospital Lahore in February 2021 with complaints of abdominal distension, pain and vomiting. He was a chronic smoker and diagnosed hypertensive for the last 14 years but was non-compliant with oral antihypertensive medications. He was a factory worker and took NSAIDs off and on for pain in the knee joint for the last five years. Read More

View Article and Full-Text PDF

2D-perfusion angiography for intra-procedural endovascular treatment response assessment in chronic mesenteric ischemia: a feasibility study.

BMC Med Imaging 2022 May 16;22(1):90. Epub 2022 May 16.

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Germany.

Background: Endovascular revascularization has become the first-line treatment of chronic mesenteric ischemia (CMI). The qualitative visual analysis of digital subtraction angiography (DSA) is dependent on observer experience and prone to interpretation errors. We evaluate the feasibility of 2D-Perfusion Angiography (2D-PA) for objective, quantitative treatment response assessment in CMI. Read More

View Article and Full-Text PDF

The Association of Cannabis Use Disorder with Acute Limb Ischemia and Critical Limb Ischemia.

Vasc Endovascular Surg 2022 Jul 3;56(5):480-494. Epub 2022 May 3.

Division of Vascular Surgery, Department of Surgery, McMaster University, Burlington, ON, Canada.

Objectives: Heavy cannabis use has been associated with the development of acute myocardial infarction and stroke. The objective of this study was to determine if heavy, chronic cannabis use is associated with the development of acute limb ischemia (ALI) or critical limb ischemia (CLI).

Methods: We conducted a retrospective cohort study within the National Inpatient Sample (2006-2015). Read More

View Article and Full-Text PDF

Surgical Treatment of Wilkie's Syndrome by Vascular Transposition.

Cureus 2022 Apr 18;14(4):e24251. Epub 2022 Apr 18.

General Surgery Department, Imam Abdulrahman Alfaisal Hospital, Riyadh, SAU.

Introduction Superior mesenteric artery syndrome (SMAS), also called mesenteric duodenal compression syndrome, Wilkie's syndrome, chronic duodenal ileus or cast syndrome, is a rare clinical condition defined as a compression of the third portion of the duodenum in between the SMA and abdominal aorta (AA), due to narrowing of the space between them. SMAS is primarily attributed to loss of the intervening mesenteric fat pad, leading to partial or complete duodenal obstruction. Its manifestations are complex and non-specific, including postprandial epigastric pain, nausea, vomiting, early satiety, weight loss and anorexia. Read More

View Article and Full-Text PDF

Pneumatosis Cystoides Intestinalis: A Benign Cause of Pneumoperitoneum.

J Med Cases 2022 Apr 25;13(4):188-191. Epub 2022 Mar 25.

South East Regional Hospital, Bega, NSW, Australia.

Pneumatosis cystoides intestinalis (PCI) is an uncommon condition where cyst-like locules of gas are present in the submucosa or subserosa of the gastrointestinal tract. The majority of cases are benign and are associated with drugs such as chemotherapy agents or conditions including chronic obstructive airways disease. We present the case of PCI resulting in pneumoperitoneum in a 72-year-old male patient on chemotherapy for esophageal adenocarcinoma. Read More

View Article and Full-Text PDF

Open thrombectomy and retrograde mesenteric stenting as a treatment for acute in chronic occlusive mesenteric ischemia: A case report.

Acta Radiol Open 2022 Apr 18;11(4):20584601221094826. Epub 2022 Apr 18.

Department of Radiology, Rigshospitalet, Copenhagen, Denmark.

In this case report, we outline a tailored approach for a complex patient with acute in chronic proximal occlusive mesenteric disease complicated with fresh thrombosis and a heavily calcified aorta, where the standard treatment proved suboptimal. We outline the surgical considerations that ultimately led to performing a hybrid procedure of open thrombectomy combined with retrograde open mesenteric stenting of the superior mesenteric artery. The patient was a 75-year-old male, with a history of severe arteriosclerosis presenting with abdominal pain over 48 h. Read More

View Article and Full-Text PDF

MRI-based pre- and postprandial flow in the mesenteric vasculature of patients with suspected chronic mesenteric ischemia.

Eur J Radiol 2022 Jun 12;151:110316. Epub 2022 Apr 12.

Department of Radiology & Nuclear Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Purpose: The physiological increase of mesenteric blood flow after a meal is impaired in patients with occlusive chronic mesenteric ischemia (CMI). This principle could be used to develop a highly desired diagnostic test assessing the sufficiency of the collateral mesenteric circulation. This study assesses the potential to identify CMI patients using two-dimensional time-resolved phase-contrast magnetic resonance imaging (2D PC-MRI) flow measurements. Read More

View Article and Full-Text PDF

Early Identification of Chronic Mesenteric Ischemia with Endoscopic Duplex Ultrasound.

Vasc Health Risk Manag 2022 8;18:233-243. Epub 2022 Apr 8.

Department of Vascular Surgery, Division of Cardiovascular and Pulmonary Diseases, Oslo University Hospital, Ullevål, Oslo, Norway.

Introduction: Due to diagnostic delay, chronic mesenteric ischemia (CMI) is underdiagnosed. We assumed that the patients suspected of CMI of the atherosclerotic origin or median arcuate ligament syndrome (MALS) could be identified earlier with endoscopic duplex ultrasound (E-DUS).

Patients And Methods: Fifty CMI patients with CTA-verified stenosis of either ≥50% and ≥70% of celiac artery (CA) and superior mesenteric artery (SMA) were examined with E-DUS and transabdominal duplex ultrasound (TA-DUS). Read More

View Article and Full-Text PDF

An Important Mimicker.

Gastroenterology 2022 Jun 2;162(7):1840-1843. Epub 2022 Mar 2.

Department of Internal Medicine and Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, Minnesota. Electronic address:

View Article and Full-Text PDF

Endovascular Management of Chronic Mesenteric Ischemia in a Patient With Left Ventricular Assist Device.

Curr Probl Cardiol 2022 Aug 2;47(8):101164. Epub 2022 Mar 2.

Ochsner Medical Center, Ochsner Heart and Vascular Institute, New Orleans, LA; University of Queensland, Ochsner Clinical School, New Orleans, LA.

Classical symptoms of chronic mesenteric ischemia include postprandial pain referred to as "intestinal angina", food fear and weight loss. Here we present a case of chronic mesenteric ischemia treated by endovascular stenting in a patient with chronic heart failure and left ventricular assist device. Read More

View Article and Full-Text PDF

MR Angiography Series: Abdominal and Pelvic MR Angiography.

Radiographics 2022 May-Jun;42(3):E94-E95. Epub 2022 Mar 4.

From the Department of Radiology, NHS Greater Glasgow & Clyde and Glasgow University, Glasgow Royal Infirmary, 16 Alexandra Parade, Glasgow G31 2ER, Scotland (G.R.); Departments of Medical Physics and Radiology, University of Wisconsin-Madison, Madison, Wis (O.W.); and Department of Radiology, Weill Cornell Medicine, New York, NY (M.R.P., E.M.H.).

This review guides readers through the selection and setup of standardized MR angiography (MRA) protocols for the abdomen and pelvis for common clinical applications. Topics covered include renovascular MRA in potential kidney donors and in patients with hypertension; hepatic and mesenteric MRA in potential liver donors, patients with portal hypertension, and patients with chronic mesenteric ischemia; pelvic MRA for pretreatment planning before uterine fibroid embolization and in patients with pelvic congestion syndrome; and abdominal wall MRA for planning of breast reconstructive surgery. This module is the fifth in a series created on behalf of the Society for Magnetic Resonance Angiography (SMRA), a group of researchers and clinicians who are passionate about the benefits of MRA but understand its challenges. Read More

View Article and Full-Text PDF

Pneumatosis intestinalis: Not always bowel ischemia.

Radiol Case Rep 2022 Apr 17;17(4):1305-1308. Epub 2022 Feb 17.

Department of General Surgery, Swan Hill District Health, Swan Hill, Victoria, Australia.

Pneumatosis intestinalis or abnormal intramural gas within the digestive tract usually suggests bowel ischemia necessitating urgent surgery. We report the case of an 82-year-old female presenting with hypotension and nausea, with a past history of schizophrenia, low grade chronic lymphocytic leukemia, stroke, bronchitis and rheumatoid arthritis. Computed tomography performed demonstrated extensive submucosal gas within the entire small bowel, associated with free gas in the peritoneal cavity. Read More

View Article and Full-Text PDF

Acute Mesenteric Ischemia in a Chronically Anticoagulated Patient With Atrial Fibrillation: Anticoagulation Reversal, Management and Preventing Recurrence.

Cureus 2022 Jan 26;14(1):e21642. Epub 2022 Jan 26.

Internal Medicine, Jersey Shore University Medical Center/St. Francis Medical Center, Trenton, USA.

Acute mesenteric ischemia (AMI) is caused by an interruption of the blood supply to the small intestine. Atrial fibrillation is a common cause of thromboembolic AMI. Patients taking direct oral anticoagulants (DOACs) for anticoagulation in atrial fibrillation are prone to anticoagulation failure and can present with thromboembolism. Read More

View Article and Full-Text PDF
January 2022

Predictors of Mortality in Acute Mesenteric Ischemia: A Systematic Review and Meta-Analysis.

J Surg Res 2022 07 24;275:72-86. Epub 2022 Feb 24.

Dow medical college, Dow University of Health Sciences, Karachi, Pakistan.

Introduction: To highlight predictors of mortality in acute mesenteric ischemia (AMI) by conducting a meta-analysis of all relevant published studies.

Methods: PubMed, Cochrane, and Google Scholar were searched from their inception till October 31, 2021. Studies evaluating predictors of mortality were selected. Read More

View Article and Full-Text PDF

Etiologies and treatments of chronic intestinal failure-short bowel syndrome (SBS) in Japanese adults: a real-world observational study.

Surg Today 2022 Feb 23. Epub 2022 Feb 23.

Osaka Medical and Pharmaceutical University, 2-7 Daigakumachi, Takatsuki, Osaka, 569-8686, Japan.

Purpose: Short bowel syndrome (SBS) with intestinal failure (SBS-IF) requires long-term parenteral nutrition (PN). This study investigated the real-world etiologies of SBS, treatment patterns, and PN-related outcomes among adult patients with SBS-IF in Japan.

Methods: This retrospective, observational cohort study was based on data from April, 2008 to January, 2020 from one of the largest hospital-based claim databases in Japan. Read More

View Article and Full-Text PDF
February 2022

Surgical and endovascular revascularization of chronic mesenteric ischemia.

Langenbecks Arch Surg 2022 Feb 19. Epub 2022 Feb 19.

Department of Visceral, Thoracic and Vascular Surgery, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.

Purpose: Chronic mesenteric ischemia (CMI) is a rare but life-threatening disease. This study reviewed outcomes in patients treated surgically for CMI by open treatment (OT) and endovascular treatment (ET), analyzing risk factors for endovascular failure.

Methods: Clinical data for 36 patients treated for CMI from 2007 to 2017 were retrospectively analyzed. Read More

View Article and Full-Text PDF
February 2022

Acute-On-Chronic Mesenteric Ischemia: The Use of Fluorescence Guidance to Diagnose a Nonsurvivable Injury.

Case Rep Surg 2022 7;2022:5459774. Epub 2022 Feb 7.

West Virginia University School of Medicine, USA.

Mesenteric ischemia (MI) is a condition characterized by compromised intestinal perfusion, leading to varied patterns of bowel hypoxia that requires prompt diagnosis and surgical intervention. Here, we report a case in which indocyanine green (ICG) was utilized to evaluate intestinal blood flow in a patient with acute-on-chronic MI. A 65-year-old underweight female presented with abdominal pain out of proportion to exam and was found to have diffuse aortic atherosclerotic disease with chronic occlusion of both superior and inferior mesenteric arteries with distal reconstitution. Read More

View Article and Full-Text PDF
February 2022

Acute and chronic mesenteric ischemia: single center analysis of open, endovascular, and hybrid surgery.

BMC Surg 2022 Feb 13;22(1):56. Epub 2022 Feb 13.

Department of Visceral, Vascular and Endocrine Surgery, Martin-Luther-University Halle-Wittenberg, Halle, Germany.

Background: The aim of the study was to analyse the outcome of open surgical, endovascular, and hybrid interventions in the treatment of acute (AMI) and chronic (CMI) mesenteric ischemia.

Methods: Retrospective review of a cohort of mesenteric ischemia patients at a single tertiary referral center from 2015 to 2021. Primary end point was postoperative in-hospital mortality. Read More

View Article and Full-Text PDF
February 2022

Metabolic regulation and dysregulation of endothelial small conductance calcium activated potassium channels.

Eur J Cell Biol 2022 Apr 8;101(2):151208. Epub 2022 Feb 8.

Division of Cardiothoracic Surgery, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI, USA. Electronic address:

The vascular endothelium is an important regulator of vascular reactivity and preserves the balance between vasoconstrictor and vasodilator tone during normal physiologic conditions. Example endothelial-derived vasoconstrictors include endothelin-1 and thromboxane A2; example vasodilators include nitric oxide and prostacyclin. A growing body of evidence points to the existence of a non-nitric oxide, non-prostacyclin endothelium-derived vasodilatory factor of currently unclear identity, often referred to as endothelium-derived hyperpolarizing factor (EDHF). Read More

View Article and Full-Text PDF

[Mesenteric arterial ischemia: from diagnosis to decision].

Rev Prat 2021 Oct;71(8):853-859

Structure d'urgences vasculaires intestinales, APHP Nord, hôpitaux Beaujon-Bichat, université de Paris, France.

Mesenteric Ischemia: FROM DIAGNOSIS TO MULTIDISCIPLINARY TREATMENT IN INTESTINAL STOKE UNIT Acute mesenteric ischemia (AMI) is a severe vascular and intestinal emergency, most commonly related to the occlusion (mesenteric occlusive disease or emboli) of the superior mesenteric artery (SMA). Such as myocardial infarction or stroke, SMA occlusion is responsible of an intestinal infarction. In case of an early revascularization of the SMA, AMI can be reversible with no need for bowel resection. Read More

View Article and Full-Text PDF
October 2021

[Endovascular management of chronic mesenteric ischemia : retrospective single-centre study].

Rev Med Liege 2022 Feb;77(2):98-103

Service de Chirurgie vasculaire, CHR du Val de Sambre, Belgique.

Chronic mesenteric ischemia (CMI) is a clinical entity linked to a gradual decrease in coelio-mesenteric arterial flow caused by occlusive disease of the digestive arterial axes. There are many etiologies of CMI, but most of the time atherosclerosis is the leading cause. Due to the development of collateral networks, clinical manifestations of CMI are very rare although some degree of stenosis of the digestive arteries is frequently found in asymptomatic elderly patients. Read More

View Article and Full-Text PDF
February 2022

Risk factors for ischemic gastrointestinal complications in patients undergoing open cardiac surgical procedures: A single-center retrospective experience.

J Card Surg 2022 Apr 9;37(4):808-817. Epub 2022 Feb 9.

Division of Cardiac Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Background: Ischemic gastrointestinal complications (IGIC) following cardiac surgery are associated with high morbidity and mortality and remain difficult to predict. We evaluated perioperative risk factors for IGIC in patients undergoing open cardiac surgery.

Methods: All patients that underwent an open cardiac surgical procedure at a tertiary academic center between 2011 and 2017 were included. Read More

View Article and Full-Text PDF

Outcomes of Visceral Arterial Reconstruction: A Systematic Review.

Vasc Endovascular Surg 2022 Apr 7;56(3):290-297. Epub 2022 Feb 7.

School of Nursing & Midwifery, 8863Royal College of Surgeons in Ireland, Dublin, Ireland.

The study aimed to review the use of synthetic grafts (SGs) and autologous vein grafts (AVGs) in visceral arterial reconstruction (VAR) in chronic visceral ischaemia. Systematic review methodology was employed. Six studies were included (218 patients and 281 vessels). Read More

View Article and Full-Text PDF

Successful endovascular treatment of severe chronic mesenteric ischemia facilitated by intraoperative positioning system image guidance.

J Vasc Surg Cases Innov Tech 2022 Mar 22;8(1):60-65. Epub 2021 Nov 22.

Centerline Biomedical, Cleveland, Ohio.

We report our initial experience using the intraoperative positioning system (IOPS), a novel endovascular navigation system that does not require contrast or radiation, in the treatment of chronic mesenteric ischemia (CMI). We used IOPS to help treat three of four consecutive patients with CMI. Technical problems prevented successful use in one patient. Read More

View Article and Full-Text PDF

Phlebosclerotic colitis: an analysis of clinical and CT findings in 29 patients with long-term follow-up.

Insights Imaging 2022 Jan 29;13(1):19. Epub 2022 Jan 29.

Department of Radiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123 Ta-Pei Road, Niao-Sung District, Kaohsiung, 833, Taiwan.

Background: Phlebosclerotic colitis (PC) is a rare form of nonthrombotic colonic ischemia. This retrospective study analyzed the clinical findings and temporal CT changes in 29 PC patients with long-term follow-up.

Methods: Twenty-nine patients with characteristic CT features of PC collected between 1997 and 2020 were stratified into the acute abdomen group (AA-group) (n = 10), chronic-progressive group (CP-group) (n = 14) and chronic-stable group (CS-group) (n = 5). Read More

View Article and Full-Text PDF
January 2022

[Clinical characteristics of paroxysmal nocturnal hemoglobinuria (PNH) complicated with ischemic bowel disease].

Zhonghua Nei Ke Za Zhi 2022 Feb;61(2):205-209

Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.

Paroxysmal nocturnal hemoglobinuria (PNH) is a rare acquired hematopoietic stem cell disease. Gastrointestinal involvement is rarely seen in PNH. This study aims to analyze the clinical features in PNH patients complicated with ischemic bowel disease. Read More

View Article and Full-Text PDF
February 2022

A Case of Chronic Mesenteric Ischemia: Complete Revascularization Using Multiple Procedures.

Ann Vasc Dis 2021 Dec;14(4):407-410

Department of Cardiovascular Surgery, Nippon Medical School, Tokyo, Japan.

Chronic mesenteric ischemia (CMI) involving occlusion and/or stenosis of multiple mesenteric arteries is rare. We report our experience with a 66-year-old man who presented with a more than 3 months history of abdominal pain and vomiting/diarrhea. A diagnosis of CMI due to occlusion of the superior mesenteric artery (SMA) and severe stenosis of the celiac artery by median arcuate ligament syndrome was made. Read More

View Article and Full-Text PDF
December 2021

Portomesenteric venous thrombosis in a prophylactically anticoagulated obese patient after laparoscopic sleeve gastrectomy: a case report.

J Med Case Rep 2021 Dec 17;15(1):623. Epub 2021 Dec 17.

King Abdullah bin Abdulaziz University Hospital, Riyadh, Saudi Arabia.

Background: Obesity is associated with an increased risk of morbidity and mortality, so weight reduction is important. Bariatric surgery is a well-tolerated approach for reducing body weight, with laparoscopic sleeve gastrectomy commonly performed. An uncommon and potentially fatal sequela of laparoscopic sleeve gastrectomy is portomesenteric vein thrombosis, which may result in severe bowel ischemia. Read More

View Article and Full-Text PDF
December 2021

Damage-control surgery in patients with nontraumatic abdominal emergencies: A systematic review and meta-analysis.

J Trauma Acute Care Surg 2022 06 9;92(6):1075-1085. Epub 2021 Dec 9.

From the Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Background: After the successful implementation in trauma, damage-control surgery (DCS) is being increasingly used in patients with nontraumatic emergencies. However, the role of DCS in the nontrauma setting is not well defined. The aim of this study was to investigate the effect of DCS on mortality in patients with nontraumatic abdominal emergencies. Read More

View Article and Full-Text PDF