Clinical management of chronic mesenteric ischemia

Autor: Dijk, L.J.D. van, Noord, D. van, Vries, A.C. de, Kolkman, J.J., Geelkerken, R.H., Verhagen, H.J.M., Moelker, A., Bruno, M.J., Balm, R., Borst, G.J. de, Blauw, J.T., Bakker, O.J., Buscher, H.C.J.L., Fioole, B., Hamming, J.F., Harki, J., Heuvel, D.A.F. van den, Hattum, E.S. van, Hinnen, J.W., Laan, M.J. van der, Lenaerts, K., Peppelenbosch, M.P., Petersen, A.S. van, Rijnja, P., Schaar, P.J. van der, Terlouw, L.G., Vries, J.P.P.M. de, Vroegindeweij, D., Dutch Mesenteric Ischemia Study
Přispěvatelé: Gastroenterology & Hepatology, Radiology & Nuclear Medicine, Surgery
Rok vydání: 2019
Předmět:
Atherosclerotic stenosis
medicine.medical_specialty
Endovascular revascularization
Clinical Decision-Making
UT-Hybrid-D
chemical and pharmacologic phenomena
Review Article
DIAGNOSIS
complex mixtures
STENOSIS
03 medical and health sciences
0302 clinical medicine
medicine
Prevalence
Humans
University medical
Erasmus+
Chronic mesenteric ischemia
median arcuate ligament syndrome
ARTERY
Abdominal discomfort
GASTRIC EXERCISE TONOMETRY
endovascular therapy
business.industry
General surgery
MORTALITY
Gastroenterology
Disease Management
medicine.disease
humanities
Treatment Outcome
Oncology
Mesenteric ischemia
030220 oncology & carcinogenesis
Mesenteric Ischemia
Chronic Disease
030211 gastroenterology & hepatology
Blood supply
REVASCULARIZATION
Symptom Assessment
atherosclerosis
business
Vascular Surgical Procedures
VISIBLE-LIGHT SPECTROSCOPY
computed tomography angiography
Zdroj: United European Gastroenterology Journal, 7(2), 179-188
United European Gastroenterology Journal
United European Gastroenterology Journal, 7(2), 179-188. SAGE Publishing
ISSN: 2050-6406
Popis: This: This Dutch Mesenteric Ischemia Study group consists of: Ron Balm, Academic Medical Center, Amsterdam Gert Jan de Borst, University Medical Center Utrecht, Utrecht Juliette T Blauw, Medisch Spectrum Twente, Enschede Marco J Bruno, Erasmus MC University Medical Center, Rotterdam Olaf J Bakker, St Antonius Hospital, Nieuwegein Louisa JD van Dijk, Erasmus MC University Medical Center, Rotterdam Hessel CJL Buscher, Gelre Hospitals, Apeldoorn Bram Fioole, Maasstad Hospital, Rotterdam Robert H Geelkerken, Medisch Spectrum Twente, Enschede Jaap F Hamming, Leiden University Medical Center, Leiden Jihan Harki, Erasmus MC University Medical Center, Rotterdam Daniel AF van den Heuvel, St Antonius Hospital, Nieuwegein Eline S van Hattum, University Medical Center Utrecht, Utrecht Jan Willem Hinnen, Jeroen Bosch Hospital, ‘s-Hertogenbosch Jeroen J Kolkman, Medisch Spectrum Twente, Enschede Maarten J van der Laan, University Medical Center Groningen, Groningen Kaatje Lenaerts, Maastricht University Medical Center, Maastricht Adriaan Moelker, Erasmus MC University Medical Center, Rotterdam Desirée van Noord, Franciscus Gasthuis & Vlietland, Rotterdam Maikel P Peppelenbosch, Erasmus MC University Medical Center, Rotterdam André S van Petersen, Bernhoven Hospital, Uden Pepijn Rijnja, Medisch Spectrum Twente, Enschede Peter J van der Schaar, St Antonius Hospital, Nieuwegein Luke G Terlouw, Erasmus MC University Medical Center, Rotterdam Hence JM Verhagen, Erasmus MC University Medical Center, Rotterdam Jean Paul PM de Vries, University Medical Center Groningen, Groningen Dammis Vroegindeweij, Maasstad Hospital, Rotterdam review provides an overview on the clinical management of chronic mesenteric ischemia (CMI). CMI is defined as insufficient blood supply to the gastrointestinal tract, most often caused by atherosclerotic stenosis of one or more mesenteric arteries. Patients classically present with postprandial abdominal pain and weight loss. However, patients may present with, atypically, symptoms such as abdominal discomfort, nausea, vomiting, diarrhea or constipation. Early consideration and diagnosis of CMI is important to timely treat, to improve quality of life and to prevent acute-on-chronic mesenteric ischemia. The diagnosis of CMI is based on the triad of clinical symptoms, radiological evaluation of the mesenteric vasculature and if available, functional assessment of mucosal ischemia. Multidisciplinary consensus on the diagnosis of CMI is of paramount importance to adequately select patients for treatment. Patients with a consensus diagnosis of single-vessel or multi-vessel atherosclerotic CMI are preferably treated with endovascular revascularization.
Databáze: OpenAIRE
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