Acute Mesenteric Ischemia Questions & Answers

Updated: Mar 26, 2020
  • Author: Chat V Dang, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Questions & Answers

Overview

What is acute mesenteric ischemia (AMI)?

What is the classification of acute mesenteric ischemia (AMI)?

How is acute mesenteric ischemia (AMI) diagnosed and treated?

How can the high mortality risk for acute mesenteric ischemia (AMI) be reduced?

What is the role of mesenteric vessel anatomy in the management of acute mesenteric ischemia (AMI)?

What is the celiac axis anatomy relevant to acute mesenteric ischemia (AMI)?

What is the hepatic artery anatomy relevant to acute mesenteric ischemia (AMI)?

What is the splenic artery anatomy relevant to acute mesenteric ischemia (AMI)?

What is the left gastric artery anatomy relevant to acute mesenteric ischemia (AMI)?

What is the superior mesenteric artery (SMA) anatomy relevant to acute mesenteric ischemia (AMI)?

What is the inferior pancreaticoduodenal artery anatomy relevant to acute mesenteric ischemia (AMI)?

What is the ileocolic artery anatomy relevant to acute mesenteric ischemia (AMI)?

What is the inferior mesenteric artery (IMA) anatomy relevant to acute mesenteric ischemia (AMI)?

What is the venous system anatomy of relevant to acute mesenteric ischemia (AMI)?

What is inferior mesenteric vein anatomy relevant to acute mesenteric ischemia (AMI)?

What is the pathophysiology of acute mesenteric ischemia (AMI)?

What is the pathophysiology of acute mesenteric arterial embolism (AMAE)?

What is the pathophysiology of acute mesenteric arterial thrombosis (AMAT)?

What is the pathophysiology of nonocclusive mesenteric ischemia (NOMI)?

What is the pathophysiology of mesenteric venous thrombosis (MVT)?

What causes acute mesenteric arterial embolism (AMAE)?

What causes acute mesenteric arterial thrombosis (AMAT)?

What causes nonocclusive mesenteric ischemia (NOMI)?

What causes mesenteric venous thrombosis (MVT)?

What is the prevalence of acute mesenteric ischemia (AMI) in the US?

Which patient groups are at highest risk for acute mesenteric ischemia (AMI)?

What is the prognosis of acute mesenteric ischemia (AMI)?

What the mortality risk factors in acute mesenteric ischemia (AMI)?

Which factors improve the prognosis of acute mesenteric ischemia (AMI)?

What is included in patient education about acute mesenteric ischemia (AMI)?

Presentation

What are the signs and symptoms of acute mesenteric ischemia (AMI)?

Which history is characteristic of acute mesenteric arterial embolism (AMAE)?

Which history is characteristic of acute mesenteric arterial thrombosis (AMAT)?

Which history is characteristic of nonocclusive mesenteric ischemia (NOMI)?

Which history is characteristic of mesenteric venous thrombosis (MVT)?

Which physical findings characteristic of acute mesenteric ischemia (AMI)?

What are potential complications of acute mesenteric ischemia (AMI)?

DDX

When should a diagnosis of acute mesenteric ischemia (AMI) be considered?

How is mesenteric venous thrombosis (MVT) diagnosed?

Which conditions should be considered in the differential diagnoses of acute mesenteric ischemia (AMI)?

What are the differential diagnoses for Acute Mesenteric Ischemia?

Workup

How is acute mesenteric ischemia (AMI) diagnosed?

What is the role of lab findings in the diagnosis of acute mesenteric ischemia (AMI)?

Which complete blood count (CBC) results suggest acute mesenteric ischemia (AMI)?

Which chemistry panel results suggest acute mesenteric ischemia (AMI)?

How is a hypercoagulable state assessed in the evaluation of acute mesenteric ischemia (AMI)?

What is the role of serum D-dimer in the diagnosis of acute mesenteric ischemia (AMI)?

What is the role of abdominal radiography in the diagnosis of acute mesenteric ischemia (AMI)?

What is the role of angiography in the diagnosis and management of acute mesenteric ischemia (AMI)?

Which angiography findings are diagnostic of acute mesenteric arterial embolism (AMAE)?

Which angiography findings are characteristic of acute mesenteric arterial thrombosis (AMAT)?

Which angiography findings are characteristic of nonocclusive mesenteric ischemia (NOMI)?

What are the advantages and disadvantages of angiography in the diagnosis and management of acute mesenteric ischemia (AMI)?

What is the role of angiography in the evaluation of suspected mesenteric venous thrombosis (MVT)?

What is the role of contrast CT scanning in the evaluation of acute mesenteric ischemia (AMI)?

Which CT findings are characteristic of acute mesenteric ischemia (AMI)?

What is the most common CT finding for acute mesenteric ischemia (AMI)?

What are the advantages of computed tomography angiography (CTA) for evaluation and management of acute mesenteric ischemia (AMI)?

What is the role of abdominal computed tomography angiography (CTA) in the diagnosis of mesenteric venous thrombosis (MVT)?

What is the role of MRI and MRA in the diagnosis of acute mesenteric ischemia (AMI)?

What is the role of ultrasonography in the evaluation of acute mesenteric ischemia (AMI)?

Which diagnostic procedures may be performed in workup for acute mesenteric ischemia (AMI)?

Treatment

How is permanent tissue damage prevented in acute mesenteric ischemia (AMI)?

What care is provided for inpatient recovery from acute mesenteric ischemia (AMI)?

When is transfer indicated for patients with acute mesenteric ischemia (AMI)?

What are the limitations of the American Gastroenterological Association (AGA) algorithms for the diagnosis and management of acute mesenteric ischemia (AMI)?

What are the definitive treatment options for acute mesenteric ischemia (AMI)?

When is immediate surgical intervention indicated for acute mesenteric ischemia (AMI)?

How is acute mesenteric ischemia (AMI) prevented?

What is the initial treatment for acute mesenteric ischemia (AMI)?

What is the role of papaverine in the treatment of acute mesenteric ischemia (AMI)?

What is the role of thrombolytic therapy in the treatment of acute mesenteric ischemia (AMI)?

What is the role of heparin in the treatment of acute mesenteric ischemia (AMI)?

How is laparotomy performed in the treatment of acute mesenteric ischemia (AMI)?

What is the role of Doppler scans in surgical intervention for acute mesenteric ischemia (AMI)?

What is the role of fluorescein in the surgical intervention for acute mesenteric ischemia (AMI)?

When is a second-look laparotomy indicated in the treatment of acute mesenteric ischemia (AMI)?

How is acute mesenteric arterial embolism (AMAE) surgically treated?

How is acute mesenteric arterial thrombosis (AMAT) surgically treated?

How is mesenteric venous thrombosis (MVT) surgically treated?

What is the role of angioplasty and stenting in the treatment of acute mesenteric ischemia (AMI)?

What is included in postoperative care for acute mesenteric ischemia (AMI)?

What are potential postoperative complications of acute mesenteric ischemia (AMI)?

What are dietary restrictions during the treatment of acute mesenteric ischemia (AMI)?

What are activity restrictions following treatment of acute mesenteric ischemia (AMI)?

Which specialist consultations should be considered for the management of acute mesenteric ischemia (AMI)?

What is included in the long-term monitoring for acute mesenteric ischemia (AMI)?

Medications

Which drug types are used in the treatment of acute mesenteric ischemia (AMI)?

Which medications in the drug class Analgesics are used in the treatment of Acute Mesenteric Ischemia?

Which medications in the drug class Antibiotics are used in the treatment of Acute Mesenteric Ischemia?

Which medications in the drug class Anticoagulants are used in the treatment of Acute Mesenteric Ischemia?

Which medications in the drug class Thrombolytics are used in the treatment of Acute Mesenteric Ischemia?

Which medications in the drug class Vasodilators are used in the treatment of Acute Mesenteric Ischemia?