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Chronic mesenteric ischemia
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Chronic mesenteric ischemia

Contributors: Michael W. Winter MD, Paritosh Prasad MD
Other Resources UpToDate PubMed

Synopsis

Chronic mesenteric ischemia, also known as intestinal angina, is defined by reduced blood flow to major mesenteric arteries (celiac, superior mesenteric, inferior mesenteric) causing abdominal pain which is often postprandial. This can result in food aversion, anorexia, and weight loss.

Chronic mesenteric ischemia is typically caused by atherosclerotic disease. However, vasculitis, aortic or mesenteric artery dissection, fibromuscular dysplasia, celiac artery compression by the median arcuate ligament, retroperitoneal fibrosis, or endovascular graft occlusion should be considered as alternative etiologies.

The same risk factors for peripheral and coronary artery disease predispose to chronic mesenteric ischemia, namely smoking, hypertension, diabetes, and hyperlipidemia.

Related topic: Acute mesenteric ischemia

Codes

ICD10CM:
K55.1 – Chronic vascular disorders of intestine

SNOMEDCT:
111354009 – Chronic vascular insufficiency of intestine

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

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Best Tests

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Therapy

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Drug Reaction Data

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References

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Last Reviewed:12/26/2017
Last Updated:05/12/2019
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Chronic mesenteric ischemia
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