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Mesenteric vascular occlusion

MedGen UID:
9972
•Concept ID:
C0025472
•
Disease or Syndrome
Synonyms: Mesenteric Vascular Occlusion; Mesenteric Vascular Occlusions; Occlusion, Mesenteric Vascular; Occlusions, Mesenteric Vascular; Vascular Occlusion, Mesenteric; Vascular Occlusions, Mesenteric
 
Monarch Initiative: MONDO:0006855

Definition

Obstruction of the flow in the splanchnic circulation by atherosclerosis; embolism; thrombosis; stenosis; trauma; and compression or intrinsic pressure from adjacent tumors. Rare causes are drugs, intestinal parasites, and vascular immunoinflammatory diseases such as periarteritis nodosa and thromboangiitis obliterans. (From Juergens et al., Peripheral Vascular Diseases, 5th ed, pp295-6) [from MONDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMesenteric vascular occlusion

Professional guidelines

PubMed

Endovascular Treatment of Chronic and Acute on Chronic Mesenteric Ischaemia: Results From a National Cohort of 245 Cases.
Altintas Ü, Lawaetz M, de la Motte L, Riazi H, Lönn L, Lindh M, Sillesen H, Eiberg J
Eur J Vasc Endovasc Surg 2021 Apr;61(4):603-611. Epub 2021 Feb 13 doi: 10.1016/j.ejvs.2021.01.003. PMID: 33589326
Management of mesenteric vascular occlusion.
Hefny AF, Ahmed I, Branicki FJ, Ramadan K, Czechowski J, Abu-Zidan FM
Singapore Med J 2008 Apr;49(4):316-9. PMID: 18418524
Combined surgical and nutritional management of patients with acute mesenteric vascular occlusion.
Gusberg R, Gump FE
Ann Surg 1974 Mar;179(3):358-61. doi: 10.1097/00000658-197403000-00018. PMID: 4813481Free 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
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
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

Diagnosis

Chronic mesenteric ischemia: Diagnosis and management.
Sardar P, White CJ
Prog Cardiovasc Dis 2021 Mar-Apr;65:71-75. Epub 2021 Apr 24 doi: 10.1016/j.pcad.2021.03.002. PMID: 33901516
Acute Gut Ischemia.
Ehlert BA
Surg Clin North Am 2018 Oct;98(5):995-1004. Epub 2018 Jul 29 doi: 10.1016/j.suc.2018.06.002. PMID: 30243457
Mesenteric Ischemia.
Clair DG, Beach JM
N Engl J Med 2016 Mar 10;374(10):959-68. doi: 10.1056/NEJMra1503884. PMID: 26962730
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

Therapy

Anticoagulant therapy for splanchnic vein thrombosis: ISTH SSC Subcommittee Control of Anticoagulation.
Di Nisio M, Valeriani E, Riva N, Schulman S, Beyer-Westendorf J, Ageno W
J Thromb Haemost 2020 Jul;18(7):1562-1568. doi: 10.1111/jth.14836. PMID: 32619346
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
Mesenteric venous thrombosis.
Singal AK, Kamath PS, Tefferi A
Mayo Clin Proc 2013 Mar;88(3):285-94. Epub 2013 Feb 27 doi: 10.1016/j.mayocp.2013.01.012. PMID: 23489453

Prognosis

Chronic mesenteric ischemia: Diagnosis and management.
Sardar P, White CJ
Prog Cardiovasc Dis 2021 Mar-Apr;65:71-75. Epub 2021 Apr 24 doi: 10.1016/j.pcad.2021.03.002. PMID: 33901516
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
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 duplex scanning.
Mitchell EL, Moneta GL
Perspect Vasc Surg Endovasc Ther 2006 Jun;18(2):175-83. doi: 10.1177/1531003506291885. PMID: 17060239
Mesenteric venous thrombosis.
Rhee RY, Gloviczki P
Surg Clin North Am 1997 Apr;77(2):327-38. doi: 10.1016/s0039-6109(05)70552-1. PMID: 9146716

Recent systematic reviews

A systematic review and meta-analysis of endovascular versus open surgical revascularization for chronic mesenteric ischemia.
Alahdab F, Arwani R, Pasha AK, Razouki ZA, Prokop LJ, Huber TS, Murad MH
J Vasc Surg 2018 May;67(5):1598-1605. Epub 2018 Mar 20 doi: 10.1016/j.jvs.2017.12.046. PMID: 29571626
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
Management of Acute Mesenteric Ischemia: A Critical Review and Treatment Algorithm.
Zhao Y, Yin H, Yao C, Deng J, Wang M, Li Z, Chang G
Vasc Endovascular Surg 2016 Apr;50(3):183-92. Epub 2016 Apr 1 doi: 10.1177/1538574416639151. PMID: 27036673
Endovascular Versus Surgical Revascularization for the Management of Chronic Mesenteric Ischemia.
Saedon M, Saratzis A, Karim A, Goodyear S
Vasc Endovascular Surg 2015 Jan-Feb;49(1-2):37-44. Epub 2015 May 11 doi: 10.1177/1538574415585127. PMID: 25964291
Diagnostic accuracy of multidetector CT in acute mesenteric ischemia: systematic review and meta-analysis.
Menke J
Radiology 2010 Jul;256(1):93-101. doi: 10.1148/radiol.10091938. PMID: 20574087

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