Management of Chronic Mesenteric Ischemia

  • Josh RadtkaEmail author


Progression of atherosclerotic arterial occlusive disease leads to the stenosis of the mesenteric vessels. Chronic mesenteric ischemia (CMI) develops when the degree of mesenteric stenosis reaches a critical level whereby the blood supply cannot meet the metabolic demands of the intestines. Patients typically present with a complaint of postprandial abdominal pain and weight loss. CMI is believed to be precursor to a major intestinal infarction event. Delay in diagnosis can lead to an increase in mortality as CMI is believed to be a precursor to intestinal infarction. Once the diagnosis is established, the stenosis can be corrected using both open surgical and endovascular techniques.


Abdominal pain Mesenteric ischemia Postprandial pain Food fear Atherosclerosis 


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    Huber, Lee. Mesenteric vascular disease: chronic ischemia. In: Cronenwett J, editor. Rutherford’s vascular surgery. Philadelphia: Elsevier; 2010. p. 2274–5.Google Scholar
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    Schwartz, et al. Diagnosis and surgical management of the visceral ischemic syndromes. In: Moore W, editor. Vascular and endovascular surgery. Philadelphia: Elsevier; 2013. p. 423–35.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Vascular SurgeryPenn State Milton S. Hershey Medical CenterHersheyUSA

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