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Cited by 127Abdominal vascular conditions and treatmentsVascular anomalies and interventionsAortic Thrombus and Embolism

INTESTINAL (MESENTERIC) VASCULOPATHY I

Cappell, Mitchell S.·1998·Gastroenterology Clinics of North America
DOI 10.1016/s0889-8553(05)70033-9
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Abstract

Intestinal vasculopathy is not rare, comprising about 1 per 1000 hospital admissions. Primary mesenteric vasculopathy causes cardiovascular disease, whereas secondary mesenteric ischemia causes extrinsic vascular compression or vascular trauma. Acute superior mesenteric arteriopathy is caused by a mesenteric embolus, thrombus, or vasospasm (i.e., nonocclusive vasculopathy). Acute superior mesenteric venopathy is caused by a thrombus, which is often associated with a hypercoagulopathy. The clinical presentation of both diseases is often subtle and nonspecific at an early stage and becomes overt and specific only when advanced and severe, when ischemia progresses to necrosis. The mortality of acute superior mesenteric arteriopathy is still very high, whereas superior mesenteric venopathy is less rapidly progressive and has a lower, but still significant, mortality. Early diagnosis and aggressive therapy significantly reduces the mortality of these life-threatening diseases.

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Crossref · 10.1016/s0889-8553(05)70033-9

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504 of 504 references verified0 citation errors · 0 not checkable

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  • In most cases of SMA embolism, duodenum, proximal jejunum and transverse colon get spared as emboli lodge 6 to 8 cm beyond its origin, often beyond the origin of middle colic artery.

    “In most cases of SMA embolism, duodenum, proximal jejunum and transverse colon get spared as emboli lodge 6 to 8 cm beyond its origin, often beyond the origin of middle colic artery.”

    From Ischemic bowel disease in 2021. (2021) · cites this paper as [21]

  • Emboli lodge into the SMA more easily possibly because of its large diameter and its origin from the aorta at an acute angle.

    “Emboli lodge into the SMA more easily possibly because of its large diameter and its origin from the aorta at an acute angle[21].”

    From Ischemic bowel disease in 2021. (2021) · cites this paper as [21]

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Authors
Cappell, M. S.
Affiliations
Maimonides Medical Center (US)
Corresponding author
Cappell, Mitchell S.
ORCID
Cappell, Mitchell S.
Venue
Gastroenterology Clinics of North America
Publisher
Elsevier BV
Published
1998-12
Volume
27
Issue
4
Pages
783-825
ISSN
0889-8553 (ISSN-L)
DOI
10.1016/s0889-8553(05)70033-9
OpenAlex
W2765939434
Cited by
127
References
509
Citations by year
2024: 1 · 2023: 1 · 2022: 2 · 2021: 5 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 5 · 2016: 1 · 2015: 3 · 2014: 7 · 2013: 5 · 2012: 4
FWCI
5.18
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Gastroenterology Clinics of North America (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Surgery › Vascular anomalies and interventions
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Thrombus and Embolism
Keywords
mesenteric ischemia, mesenteric embolism, nonocclusive mesenteric ischemia, hypercoagulability, intestinal necrosis, mortality, early diagnosis
MeSH terms
Humans, Intestines, Ischemia, Mesenteric Vascular Occlusion, Mesenteric Veins, Vascular Diseases, Mesenteric Artery, Superior

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