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Chronic Mesenteric Ischemia

Aka: Chronic Mesenteric Ischemia, Abdominal Angina, Intestinal Angina
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  1. See Also
    1. Mesenteric Ischemia
  2. Epidemiology
    1. Age: 60 years is mean age of diagnosis
    2. Gender predominance: Female (by ratio to 3:1)
  3. Risk Factors
    1. Cardiovascular Risk Factors
    2. Tobacco abuse (75-80%)
  4. Symptoms
    1. Symptoms are typically present for 4 -6 months at presentation
      1. Diagnosis is often delayed as much as 18 months
    2. Post-prandial Abdominal Pain
      1. Crampy Abdominal Pain
      2. Pain is poorly localized
    3. Weight loss of 15-25 pounds
  5. Signs
    1. Abdominal bruit (60-90%)
    2. Fecal Occult Blood testing (10%)
  6. Imaging: Diagnosis
    1. Angiography (gold standard)
    2. MRA Abdomen
    3. Ultrasound duplex
  7. Management
    1. Vascular Surgery
    2. Endovascular procedures
  8. References
    1. Fraboni (2012) Board Review Express, San Jose

Chronic mesenteric ischemia (C0311262)

Concepts Disease or Syndrome (T047)
MSH C537347
ICD9 557.1
SnomedCT 266448009, 197008005, 111354009, 241154007, 197005008
English Chronic mesenteric arterial insufficiency syndrome, MESENTERIC VASCULAR INSUFFICIENCY, CHRONIC, Chronic intestinal ischemic syndrome, NOS, Chronic vascular insufficiency of intestine, NOS, Chro intest vasc insuff, Chronic GIT vasc.insuffic.NOS, Chronic intestinal vascular insufficiency NOS, Chronic intestinal ischaemic syndrome, NOS, CMI - Chron mesenteric ischaem, Chronic mesenteric ischaemia (disorder), Chr vasc insuff intest, Chronic intestinal vascular insufficiency NOS (disorder), chronic mesenteric ischemia, chronic intestinal ischemia, Chronic vascular insufficiency of intestine, Chronic intestinal ischaemia, Chronic intestinal ischemia, Chronic intestinal vascular insufficiency, Chronic mesenteric ischaemia, CMI - Chronic mesenteric ischaemia, CMI - Chronic mesenteric ischemia, Chronic intestinal ischaemic syndrome, Chronic intestinal ischemic syndrome, Chronic vascular insufficiency of intestine (disorder), Chronic mesenteric ischemia, ischemia; bowel, chronic, Chronic mesenteric ischaemia [Ambiguous]
Dutch chronische vasculaire insufficiëntie van de ingewanden, ischemie; darm, chronisch
French Insuffisance intestinale chronique vasculaire
German chronische vaskulaere Insuffizienz des Darms
Portuguese Insuficiência vascular crónica do intestino
Spanish Insuficiencia vascular crónica del intestino, Chronic intestinal vascular insufficiency, Chronic mesenteric ischaemia [Ambiguous], Chronic mesenteric ischemia, Chronic mesenteric ischaemia, insuficiencia vascular crónica del intestino (trastorno), insuficiencia vascular crónica del intestino, insuficiencia vascular intestinal crónica, SAI (trastorno), insuficiencia vascular intestinal crónica, SAI, isquemia mesentérica crónica, síndrome de isquemia intestinal crónica
Japanese 慢性腸血行不全, ﾏﾝｾｲﾁｮｳｹｯｺｳﾌｾﾞﾝ
Italian Insufficienza vascolare cronica dell'intestino
Czech Chronická cévní nedostatečnost střeva
Hungarian Bél chronikus vascularis elégtelensége
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Intestinal angina (C1280008)

Concepts Sign or Symptom (T184)
SnomedCT 241154007, 24988007, 240342007, 197005008
English ABDOMINAL ANGINA, INTESTINAL ANGINA, Abdominal Angina, intestinal angina, abdominal angina, angina abdominal, angina intestinal, Abdominal angina, Intestinal angina, Abdominal angina (disorder), Intestinal angina (disorder), Angina - abdominal
Italian Angina intestinale
Japanese 腸管アンギナ, ﾁｮｳｶﾝｱﾝｷﾞﾅ
Spanish Angina - abdominal, Abdominal angina, angina abdominal (trastorno), angina abdominal, angina intestinal (trastorno), angina intestinal, Angina intestinal
Czech Abdominální angina
Hungarian Intestinalis angina
Portuguese Angina intestinal
Dutch intestinale angina
French Angor intestinal
German Angina intestinalis
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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