Ischemic bowel disease

Intestinal hypoxia can progress to bowel infarction, particularly if there is delay in diagnosis and subsequent management.[17]American College of Radiology. ACR appropriateness criteria: radiologic management of mesenteric ischemia. 2022 [internet publication]. https://acsearch.acr.org/docs/69501/Narrative [92]Lim S, Halandras PM, Bechara C, et al. Contemporary management of acute mesenteric ischemia in the endovascular era. Vasc Endovascular Surg. 2019 Jan;53(1):42-50. https://journals.sagepub.com/doi/10.1177/1538574418805228 http://www.ncbi.nlm.nih.gov/pubmed/30360689?tool=bestpractice.com  Mortality rate is approximately 60%.[17]American College of Radiology. ACR appropriateness criteria: radiologic management of mesenteric ischemia. 2022 [internet publication]. https://acsearch.acr.org/docs/69501/Narrative

Patients with chronic mesenteric ischemia frequently develop a fear of eating, as consumption of food often acts as the trigger for increased physiologic demand for blood in the bowel, bringing with it symptoms of ischemia. Significant weight loss and malnutrition can occur as a result.

Patients whose episodes of ischemic 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.

Short bowel syndrome