Mesenteric ischemia - Revision history

Danbot: Strip excess bold text - keep only critical safety emphasis

2026-03-22T09:23:07Z

Strip excess bold text - keep only critical safety emphasis

← Older revision		Revision as of 09:23, 22 March 2026
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	*IV [[Special:MyLanguage/antibiotics\|antibiotics]] - broad spectrum antibiotics to prevent sepsis <ref>Acute mesenteric ischemia. Curr Gastroenterol Rep 2008;10:341</ref>		*IV [[Special:MyLanguage/antibiotics\|antibiotics]] - broad spectrum antibiotics to prevent sepsis <ref>Acute mesenteric ischemia. Curr Gastroenterol Rep 2008;10:341</ref>
	**Second-generation [[Special:MyLanguage/cephalosporin\|cephalosporin]] plus [[Special:MyLanguage/metronidazole\|metronidazole]]<ref>Klar E, Rahmanian PB, Bücker A, Hauenstein K, Jauch KW, Luther B. Acute mesenteric ischemia: a vascular emergency. Dtsch Arztebl Int. 2012 Apr;109(14):249-56 full-text, commentary can be found in Dtsch Arztebl Int 2012 Oct;109(42):709 full-text, Dtsch Arztebl Int 2012 Oct;109(42):710.</ref>, '''OR'''		**Second-generation [[Special:MyLanguage/cephalosporin\|cephalosporin]] plus [[Special:MyLanguage/metronidazole\|metronidazole]]<ref>Klar E, Rahmanian PB, Bücker A, Hauenstein K, Jauch KW, Luther B. Acute mesenteric ischemia: a vascular emergency. Dtsch Arztebl Int. 2012 Apr;109(14):249-56 full-text, commentary can be found in Dtsch Arztebl Int 2012 Oct;109(42):709 full-text, Dtsch Arztebl Int 2012 Oct;109(42):710.</ref>, '''OR'''
	**[[Special:MyLanguage/Levofloxacin\|Levofloxacin]] 500 mg IV q24 hours PLUS [[Special:MyLanguage/Metronidazole\|Metronidazole]] 15 mg/kg IV LOAD over 1 hour, for severely ill, maintenance 500 mg IV q6 hours,<ref>Berland T, Oldenburg WA. Acute mesenteric ischemia. Curr Gastroenterol Rep. 2008 Jun;10(3):341-6.</ref> ~~'''~~OR~~'''~~		**[[Special:MyLanguage/Levofloxacin\|Levofloxacin]] 500 mg IV q24 hours PLUS [[Special:MyLanguage/Metronidazole\|Metronidazole]] 15 mg/kg IV LOAD over 1 hour, for severely ill, maintenance 500 mg IV q6 hours,<ref>Berland T, Oldenburg WA. Acute mesenteric ischemia. Curr Gastroenterol Rep. 2008 Jun;10(3):341-6.</ref> OR
	**[[Special:MyLanguage/Piperacillin/tazobactam\|Piperacillin/tazobactam]] 3.375 mg IV q6 hours		**[[Special:MyLanguage/Piperacillin/tazobactam\|Piperacillin/tazobactam]] 3.375 mg IV q6 hours
	*[[Special:MyLanguage/Anticoagulation\|Anticoagulation]] with [[Special:MyLanguage/heparin\|heparin]] is usually appropriate in all patients with mesenteric ischemia, with exception of those with typical contraindications		*[[Special:MyLanguage/Anticoagulation\|Anticoagulation]] with [[Special:MyLanguage/heparin\|heparin]] is usually appropriate in all patients with mesenteric ischemia, with exception of those with typical contraindications
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	===Acute arterial embolus===		===Acute arterial embolus===

	*Papaverine infusion (30-60m g/h IV) ~~'''~~OR~~'''~~		*Papaverine infusion (30-60m g/h IV) OR
	*Surgical embolectomy ~~'''~~OR~~'''~~		*Surgical embolectomy OR
	*Mesenteric artery bypass surgery ~~'''~~OR~~'''~~		*Mesenteric artery bypass surgery OR
	*Retrograde open mesenteric stenting ~~'''~~OR~~'''~~		*Retrograde open mesenteric stenting OR
	*[[Special:MyLanguage/tPA\|tPA]] intra-arterial thrombolysis with IR		*[[Special:MyLanguage/tPA\|tPA]] intra-arterial thrombolysis with IR
	*PLUS/MINUS surgical resection of necrotic bowel after any of above interventions		*PLUS/MINUS surgical resection of necrotic bowel after any of above interventions

Ostermayer: Prepared the page for translation

2026-01-04T23:45:01Z

Prepared the page for translation

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Rossdonaldson1: /* Pathophysiology */

2021-11-27T04:16:18Z

Pathophysiology

← Older revision		Revision as of 04:16, 27 November 2021
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	#Mesenteric arterial thrombosis (ex. Vasculopath)		#Mesenteric arterial thrombosis (ex. Vasculopath)
	#Nonocclusive mesenteric ischemia (ex. Hypovolemia from diuretics)		#Nonocclusive mesenteric ischemia (ex. Hypovolemia from diuretics)
	#Mesenteric venous thrombosis (ex. hypercoagulable state)		#[[Mesenteric venous thrombosis]] (ex. hypercoagulable state)

	{{Intestinal ischemia types}}		{{Intestinal ischemia types}}

Rossdonaldson1: /* Background */

2021-11-27T04:15:48Z

Background

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	==Background==		==Background==
	[[File:Superior mesenteric a.gif\|thumb\|Frontal view of the superior mesenteric artery and its branches. The large vessel (blue) beside the SMA is the superior mesenteric vein. A considerable number of different branching patterns exist.]]		[[File:Superior mesenteric a.gif\|thumb\|Frontal view of the superior mesenteric artery and its branches. The large vessel (blue) beside the SMA is the superior mesenteric vein. A considerable number of different branching patterns exist.]]
	*Most commonly SMA, thus typically involves small bowel (especially jejunum) and right colon		[[File:Colonic blood supply.png\|thumb\|Colonic blood supply. Pink - supply from superior mesenteric artery (SMA) and its branches: middle colic, right colic, ileocolic arteries. Blue - supply from inferior mesenteric artery (IMA) and its branches: left colic, sigmoid, superior rectal artery. 7 is for so-called Cannon-Böhm point (the border between the areas of SMA and IMA supplies), which lies at the splenic flexure.]]
			*Most commonly superior mesenteric artery (SMA), thus typically involves small bowel (especially jejunum) and right colon
	*Left colon uncommonly involved due to collateral flow		*Left colon uncommonly involved due to collateral flow
	*Mean age = 70 years old (>70% of cases occur in women)		*Mean age = 70 years old (>70% of cases occur in women)

Rossdonaldson1: /* Background */

2021-11-27T04:11:08Z

Background

← Older revision		Revision as of 04:11, 27 November 2021
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	==Background==		==Background==
			[[File:Superior mesenteric a.gif\|thumb\|Frontal view of the superior mesenteric artery and its branches. The large vessel (blue) beside the SMA is the superior mesenteric vein. A considerable number of different branching patterns exist.]]
	*Most commonly SMA, thus typically involves small bowel (especially jejunum) and right colon		*Most commonly SMA, thus typically involves small bowel (especially jejunum) and right colon
	*Left colon uncommonly involved due to collateral flow		*Left colon uncommonly involved due to collateral flow

Rossdonaldson1: /* Background */

2021-11-27T04:08:48Z

Background

← Older revision		Revision as of 04:08, 27 November 2021
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	#Nonocclusive mesenteric ischemia (ex. Hypovolemia from diuretics)		#Nonocclusive mesenteric ischemia (ex. Hypovolemia from diuretics)
	#Mesenteric venous thrombosis (ex. hypercoagulable state)		#Mesenteric venous thrombosis (ex. hypercoagulable state)

			{{Intestinal ischemia types}}

	===Risk Factors===		===Risk Factors===
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	*[[Diuretic]] use		*[[Diuretic]] use
	\|}		\|}

	~~{{Intestinal ischemia types}}~~

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Evaluation */

2021-11-27T04:05:35Z

Evaluation

← Older revision		Revision as of 04:05, 27 November 2021
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	==Evaluation==		==Evaluation==
			[[File:Ischemicbowel.png\|thumb\|CT showing dilated loops of small bowel with thickened walls (black arrow), findings characteristic of ischemic bowel due to thrombosis of the superior mesenteric vein.]]
	===Workup===		===Workup===
	*Labs		*Labs

Rossdonaldson1: /* Differential Diagnosis */

2021-07-08T18:45:58Z

Differential Diagnosis

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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Colitis types}}		{{Colitis types}}

	{{Abdominal Pain DDX Diffuse}}		{{Abdominal Pain DDX Diffuse}}

Rossdonaldson1: /* Background */

2021-07-08T18:40:45Z

Background

← Older revision		Revision as of 18:40, 8 July 2021
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	\|}		\|}

	~~===~~Intestinal ~~Ischemic Disorder Types===~~		{{Intestinal ischemia types}}
	*[[Ischemic colitis]]
	*Acute mesenteric ischemia
	*Mesenteric venous thrombosis
	*Chronic mesenteric ischemia ("intestinal angina")

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Background */

2021-07-08T18:36:05Z

Background

← Older revision		Revision as of 18:36, 8 July 2021
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	*[[Diuretic]] use		*[[Diuretic]] use
	\|}		\|}

			===Intestinal Ischemic Disorder Types===
			*[[Ischemic colitis]]
			*Acute mesenteric ischemia
			*Mesenteric venous thrombosis
			*Chronic mesenteric ischemia ("intestinal angina")

	==Clinical Features==		==Clinical Features==