Chronic Mesenteric Ischemia

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  • Kuma Sosei
    Department of Vascular Surgery, Kyushu Central Hospital

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  • 慢性腸管虚血

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<p>Chronic mesenteric ischemia (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. The diagnosis of CMI is based on the triad of clinical symptoms and radiological evaluation of the mesenteric arteries. Revascularization of CMI is considered for improving quality of life and preventing bowel infarction in patients with advanced clinical symptoms. Endovascular revascularization has surpassed open surgery as the most commonly used treatment for patients with CMI, allocating open surgical bypass to patients in whom mesenteric artery stenting fails or who have lesions unsuitable to stenting.</p>

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