Functional testing in the diagnosis of chronic mesenteric ischemia

Noord, Désirée Leemreis van; Kolkman, Jeroen J.

doi:10.1016/j.bpg.2016.12.002

Cited by 21 publications

(20 citation statements)

References 72 publications

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“…and specificity 77-94%. 40,70 Major disadvantages of tonometry are the invasiveness (nasogastric tubes), long duration and interference of gastric acid and acids in food. Unfortunately, the disappearance of this test is expected in the near future, since tonometry equipment is no longer produced.…”

Section: C 78%mentioning

confidence: 99%

“…86 Tonometry studies confirm that oral intake induces or worsens ischaemia in the stomach and jejunum of chronic mesenteric ischaemia patients. 70 Additional circumstantial evidence can be found in case reports and a cohort study, which reported AMI in 2% of in-hospital patients receiving enteral tube feeding and even higher rates of AMI among intensive care unit (ICU) patients, since most ICU patients are haemodynamically unstable and unable to increase mesenteric blood flow. [87][88][89] The latter did not use a control group (e.g.…”

Section: Nutritional Status Before Mesenteric Artery Revascularizationmentioning

confidence: 99%

“…Functional tests have been developed to characterise chronic intestinal ischaemia and prove insufficiency of the collateral circulation 70. The most extensively described functional tests are tonometry and visible light spectroscopy (VLS).…”

mentioning

confidence: 99%

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European guidelines on chronic mesenteric ischaemia – joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric

et al. 2020

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Chronic mesenteric ischaemia is a severe and incapacitating disease, causing complaints of post-prandial pain, fear of eating and weight loss. Even though chronic mesenteric ischaemia may progress to acute mesenteric ischaemia, chronic mesenteric ischaemia remains an underappreciated and undertreated disease entity. Probable explanations are the lack of knowledge and awareness among physicians and the lack of a gold standard diagnostic test. The underappreciation of this disease results in diagnostic delays, underdiagnosis and undertreating of patients with chronic mesenteric ischaemia, potentially resulting in fatal acute mesenteric ischaemia. This guideline provides a comprehensive overview and repository of the current evidence and multidisciplinary expert agreement on pertinent issues regarding diagnosis and treatment, and provides guidance in the multidisciplinary field of chronic mesenteric ischaemia.

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Section: C 78%mentioning

confidence: 99%

Section: Nutritional Status Before Mesenteric Artery Revascularizationmentioning

confidence: 99%

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European guidelines on chronic mesenteric ischaemia – joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric

et al. 2020

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“…Acute MI can be caused by occlusion due to arterial thrombosis/embolism or mesenteric venous thrombosis, or due to low mesenteric blood flow from poor cardiac output or mesenteric arterial vasoconstriction. Chronic MI can have numerous etiologies including vasculitis, malignancy, cocaine abuse, celiac artery compression syndrome (also known as median arcuate ligament syndrome), Takayasu arteritis, radiation, and fibromuscular dysplasia; however, the progressive atherosclerotic disease is the cause in the majority of the instances [5,9]. The population that is at high risk for chronic MI include elderly females aged 60 or above [3-4].…”

Section: Discussionmentioning

confidence: 99%

Weight Loss: A Significant Cue To The Diagnosis of Chronic Mesenteric Ischemia

Bakhtiar

Yousphi

Ghani

et al. 2019

Cureus

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Chronic mesenteric ischemia (CMI) is a condition defined by a state of attenuated blood circulation in the mesenteric vasculature affecting one or more abdominal viscera, and is more common in the female and elderly populations. Amongst the many causes, it occurs most frequently in connection with diffuse atherosclerosis. Its presentation is variable with symptoms such as weight loss, nausea, vomiting, diarrhea and/or constipation, with postprandial pain classically present in the majority of the cases; this, in addition to the chronic course of the disease, makes timely diagnosis a challenge. Physical examination may reveal signs of malnutrition and other findings usually linked with the underlying medical condition. It can have grave consequences if not managed promptly. In our case, an 81-year-old woman came in with loss of appetite, nausea, vomiting, diarrhea and/or constipation, and weight loss. Computed tomography angiography (CTA) of the abdomen/pelvis confirmed chronic occlusion of the mesenteric vessels. She was treated surgically. This discussion is based on chronic mesenteric ischemia and its nonspecific symptomatology, particularly its association with weight loss.

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“…PCO 2 tonometry and visible light spectroscopy are two functional tests that have been used in patients with CMI. 12 Unfortunately, these tests are not widely available and are limited by accuracy and complexity.…”

Section: Pathophysiologymentioning

confidence: 99%

Surgical Intervention for Chronic Mesenteric Ischemia

Klein

Bennett

et al. 2018

Dig Dis Interv

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Symptomatic chronic mesenteric ischemia (CMI) is a relatively rare condition, yet there are significant clinical consequences for those affected by the disease. CMI not only reduces quality of life but also increases an individual's risk for life-threatening acute mesenteric ischemia. Surgery is the definitive treatment to reduce the risk for this potentially fatal outcome, and both endovascular and open surgical strategies are currently utilized. This review article discusses the approach to making a diagnosis of CMI, as well as the surgical techniques used to revascularize the mesenteric circulation.

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Functional testing in the diagnosis of chronic mesenteric ischemia

Cited by 21 publications

References 72 publications

Weight Loss: A Significant Cue To The Diagnosis of Chronic Mesenteric Ischemia

Surgical Intervention for Chronic Mesenteric Ischemia

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