Chronic mesenteric ischaemia

Chronic mesenteric ischaemia

1. atherosclerosis

   • smoking
   • hypertension
   • diabetes
   • high cholesterol

2. coeliac axis, SMA and IMA

3. clinical

   • weight loss
   • post-prandial epigastric or periumbilical pain
   • fear of eating

4. treatment

   • medical
     • anticoag
     • statins
     • good diabetic control
     • quit smoking
   • surgical
     • endarterectomy
     • retrograde bypass

5. imaging

   • arteriography
   • mesenteric Doppler