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Mesenteric Vascular Disease pp 199–209Cite as

Clinical Presentation, Etiology, and Diagnostic Considerations

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Abstract

Acute mesenteric ischemia (AMI) was first described by Antonio Benivieni, a Florentine physician who is known for his work, De Abditis Morborum Causis (The Hidden Causes of Disease), which describes his discoveries as a pioneer in postmortem dissection. The first successful treatment of AMI is attributed to Elliott, who successfully resected infarcted bowel from a patient with AMI in 1895. Following this, further progress in management leading to an improvement in outcomes was extremely slow. The next breakthroughs did not occur until 1950 when Klass performed the first superior mesenteric artery (SMA) embolectomy and 1980 when Furrer performed the first percutaneous angioplasty of the SMA. Today, AMI continues to be an uncommon clinical problem, comprising 1–2 per 1,000 hospital admissions [1] and remains an extremely challenging clinical problem to diagnose. The mortality rate of AMI has declined very modestly from 80–90 % in the 1970s to 60–70 % in the 1980s and 1990s. This improvement in outcomes is likely attributable to a higher index of suspicion among clinicians, advances in radiographic diagnosis, and an aggressive surgical approach with better perioperative care.

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Authors and Affiliations

  1. Division of Vascular and Endovascular Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA

    Ramoncito A. David MD, Young Erben MD & Manju Kalra MBBS (Professor of Surgery)

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  1. Ramoncito A. David MD
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  2. Young Erben MD
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  3. Manju Kalra MBBS
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Correspondence to Manju Kalra MBBS .

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Editors and Affiliations

  1. Division of Vascular and Endovascular Therapy, Mayo Clinic Gonda Vascular Center, Rochester, Minnesota, USA

    Gustavo S. Oderich

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David, R.A., Erben, Y., Kalra, M. (2015). Clinical Presentation, Etiology, and Diagnostic Considerations. In: Oderich, G. (eds) Mesenteric Vascular Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1847-8_15

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  • DOI: https://doi.org/10.1007/978-1-4939-1847-8_15

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