Complications
Patients with chronic mesenteric ischaemia frequently develop a fear of eating, as consumption of food often acts as the trigger for increased physiological demand for blood in the bowel, bringing with it symptoms of ischaemia. Significant weight loss and malnutrition can occur as a result.
Patients whose episodes of ischaemic bowel disease resolve with medical management carry a significant risk for developing strictures. Surgical strictureplasty or more commonly bowel resection is the mainstay of treatment, as strictures are normally of a length that precludes endoscopic balloon dilatation.
Develops in patients who have undergone significant bowel resection. Management requires permanent parenteral nutrition or small bowel transplantation.
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