Mesenteric ischemia classification

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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

Mesentric ischemia (MI) is classied into various subdivisions based on the difference in pathogenesis and treatment of each type. MI is primarily classified into acute and chronic, on the basis of severity; occlusive and non occlusive based on their pathophysiology.

Classification

  • Based on the duration of symptoms, mesenteric ischemia may be classified as either acute or chronic.[1][2][3][4]
    • Acute mesenteric ischemia
    • Chronic mesenteric ischemia
  • Acute mesenteric ischemia is further classifed into occlusive and non-occlusive subtypes, with the former having three more subclasses.
  • Occlusive mesenteric ischemia: [5][6]
    • Mesenteric arterial embolism
    • Mesenteric arterial thrombosis
    • Mesenteric venous thrombosis
  • Non-occlusive mesenteric ischemia[7]
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Mesenteric ischemia
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Acute mesenteric ischemia
 
 
 
 
 
 
 
Chronic mesenteric ischemia
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Occlusive mesenteric ischemia
 
Non-occlusive mesenteric ischemia
 
 
 
 
 
 

References

  1. Sise MJ (2014). "Acute mesenteric ischemia.". Surg Clin North Am. 94 (1): 165–81. PMID 24267504. doi:10.1016/j.suc.2013.10.012. 
  2. Bauknecht KJ, Hirner A, Häring R (1986). "[Occlusive and nonocclusive mesenteric ischemia].". Z Gastroenterol Verh. 21: 86–94. PMID 2422847. 
  3. Menge H (1986). "[Occlusive and nonocclusive mesenteric ischemia. Anamnestic and clinical findings].". Z Gastroenterol Verh. 21: 74–9. PMID 2422844. 
  4. Roussel A, Castier Y, Nuzzo A, Pellenc Q, Sibert A, Panis Y; et al. (2015). "Revascularization of acute mesenteric ischemia after creation of a dedicated multidisciplinary center.". J Vasc Surg. 62 (5): 1251–6. PMID 26243208. doi:10.1016/j.jvs.2015.06.204. 
  5. Yasuhara H (2005). "Acute mesenteric ischemia: the challenge of gastroenterology.". Surg Today. 35 (3): 185–95. PMID 15772787 : 15772787 . doi:10.1007/s00595-004-2924-0. 
  6. Schneider TA, Longo WE, Ure T, Vernava AM (1994). "Mesenteric ischemia. Acute arterial syndromes.". Dis Colon Rectum. 37 (11): 1163–74. PMID 7956590. 
  7. Bruch HP, Broll R, Wünsch P, Schindler G (1989). "[Non-occlusive ischemia enteropathy. Diagnosis, therapy and prognosis].". Chirurg. 60 (6): 419–25. PMID 2758894. 

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