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Intestinal ischemia

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Abstract

Ischemic changes of the abdominal organs are crucial since they develop slowly and are therefore often diagnosed at a late stage. Due to this general aspect, mortality from this disease could not be significantly reduced over the last decade. One of the main causes of these high mortality rates is the insufficient integration of the overall clinical picture into the diagnostic work-up. Acute mesenteric ischemia should be differentiated from chronic visceral ischemia. Acute intestinal ischemia is a vascular emergency with a mortality rate of 60–80%. The incidence of chronic visceral vascular disorders accounts for approximately 1–2% of all abdominal conditions and has to be differentiated from the acute form, since intestinal ischemia has a progressive nature and usually is related to general atherosclerotic disease. Therefore, this condition is associated with an increase of arteriosclerotic-related multimorbidity in an increasingly elderly population. Due to excellent collateralization, extensive chronic occlusion processes affecting the visceral arteries can be asymptomatically treated on a long-term basis.

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Authors and Affiliations

  1. Department for Vascular Medicine, University Heart Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

    Eike Sebastian Debus, Tilo Kölbel & Axel Larena-Avellaneda

  2. Department of Diagostic and Interventional Radiology/Neuroradiology, Ev.-Luth. Deaconess Institute, Flensburg, Germany

    Stefan Müller-Hülsbeck

  3. Department of Vascular Medicine, Vascular surgery—Endovascular Interventions—Angiology, University Heart Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany

    Eike Sebastian Debus

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  1. Eike Sebastian Debus
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  4. Axel Larena-Avellaneda
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Correspondence to Eike Sebastian Debus.

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Debus, E.S., Müller-Hülsbeck, S., Kölbel, T. et al. Intestinal ischemia. Int J Colorectal Dis 26, 1087–1097 (2011). https://doi.org/10.1007/s00384-011-1196-6

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