Mesenteric ischemia epidemiology and demographics

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Feham Tariq, MD [2]

Overview

The incidence rate of mesenteric ischemia secondary to superior mesenteric artery occlusion is 8.6/100 000/year. 70% of SMA occlusion is caused by embolism and 30% by thrombosis. The annual incidence of mesenteric ischemia is approximately 5.5% per 100,000 individuals. The incidence of mesenteric ischemia increases with age and the median age at diagnosis is 70 years. Mesenteric ischemia affects men and women equally.

Epidemiology and Demographics

Incidence

Prevalence

  • The prevalence of mesenteric ischemia:[9]
    • Occlusive mesenteric ischemia due to mesenteric venous thrombosis is approximately per 100,000 individuals worldwide.
    • Non-occlusive mesenteric ischemia is approximately 6000 per 100,000 individuals worldwide.

Case-fatality rate/Mortality rate

Age

Race

Gender

Region

  • The majority of mesenteric ischemia cases are reported in Sweden.

References

  1. Acosta S, Ogren M, Sternby NH, Bergqvist D, Björck M (2004). "Incidence of acute thrombo-embolic occlusion of the superior mesenteric artery--a population-based study". Eur J Vasc Endovasc Surg. 27 (2): 145–50. doi:10.1016/j.ejvs.2003.11.003. PMID 14718895.
  2. Acosta S (2010). "Epidemiology of mesenteric vascular disease: clinical implications". Semin Vasc Surg. 23 (1): 4–8. doi:10.1053/j.semvascsurg.2009.12.001. PMID 20298944.
  3. Jrvinen O, Laurikka J, Salenius JP, Tarkka M (1994). "Acute intestinal ischaemia. A review of 214 cases". Ann Chir Gynaecol. 83 (1): 22–5. PMID 8053632.
  4. Acosta, S.; Ögren, M.; Sternby, N.-H.; Bergqvist, D.; Björck, M. (2004). "Incidence of Acute Thrombo-Embolic Occlusion of the Superior Mesenteric Artery—A Population-based Study". European Journal of Vascular and Endovascular Surgery. 27 (2): 145–150. doi:10.1016/j.ejvs.2003.11.003. ISSN 1078-5884.
  5. Acosta S, Ogren M, Sternby NH, Bergqvist D, Björck M (2006). "Fatal nonocclusive mesenteric ischaemia: population-based incidence and risk factors". J Intern Med. 259 (3): 305–13. doi:10.1111/j.1365-2796.2006.01613.x. PMID 16476108.
  6. Acosta S (2010). "Epidemiology of mesenteric vascular disease: clinical implications". Semin Vasc Surg. 23 (1): 4–8. doi:10.1053/j.semvascsurg.2009.12.001. PMID 20298944 : 20298944 Check |pmid= value (help).
  7. Acosta S, Alhadad A, Svensson P, Ekberg O (2008). "Epidemiology, risk and prognostic factors in mesenteric venous thrombosis". Br J Surg. 95 (10): 1245–51. doi:10.1002/bjs.6319. PMID 18720461.
  8. Kärkkäinen, Jussi M.; Acosta, Stefan (2017). "Acute mesenteric ischemia (part I) – Incidence, etiologies, and how to improve early diagnosis". Best Practice & Research Clinical Gastroenterology. 31 (1): 15–25. doi:10.1016/j.bpg.2016.10.018. ISSN 1521-6918.
  9. Kärkkäinen JM, Acosta S (2017). "Acute mesenteric ischemia (part I) - Incidence, etiologies, and how to improve early diagnosis". Best Pract Res Clin Gastroenterol. 31 (1): 15–25. doi:10.1016/j.bpg.2016.10.018. PMID 28395784.
  10. Bala M, Kashuk J, Moore EE, Kluger Y, Biffl W, Gomes CA; et al. (2017). "Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery". World J Emerg Surg. 12: 38. doi:10.1186/s13017-017-0150-5. PMC 5545843. PMID 28794797.
  11. Huang, Hsien-Hao; Chang, Yu-Che; Yen, David Hung-Tsang; Kao, Wei-Fong; Chen, Jen-Dar; Wang, Lee-Min; Huang, Chun-I; Lee, Chen-Hsen (2005). "Clinical Factors and Outcomes in Patients with Acute Mesenteric Ischemia in the Emergency Department". Journal of the Chinese Medical Association. 68 (7): 299–306. doi:10.1016/S1726-4901(09)70165-0. ISSN 1726-4901.
  12. Veenstra RP, ter Steege RW, Geelkerken RH, Huisman AB, Kolkman JJ (2012). "The cardiovascular risk profile of atherosclerotic gastrointestinal ischemia is different from other vascular beds". Am J Med. 125 (4): 394–8. doi:10.1016/j.amjmed.2011.09.013. PMID 22305578.

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