From the Guidelines
Sclerosing mesenteritis is typically treated by gastroenterologists, often in collaboration with other specialties such as rheumatologists and sometimes oncologists. This rare inflammatory disorder affecting the mesentery requires specialized care due to its complex nature. The treatment approach is often multidisciplinary, involving various healthcare professionals, as seen in the management of inflammatory bowel disease, where a team including a gastroenterologist, colorectal surgeon, and other specialists is recommended for optimal care 1.
Key Specialties Involved
- Gastroenterologists: coordinate care, manage symptoms, and monitor disease progression
- Rheumatologists: collaborate in the management of the inflammatory aspects of the disease
- Oncologists: involved in cases where sclerosing mesenteritis may mimic malignancies or when treatment requires oncologic expertise
- Radiologists: play a crucial role in diagnosis and monitoring through imaging studies
- Surgeons: may be involved for tissue biopsy or in cases requiring surgical intervention
Given the complex and multifaceted nature of sclerosing mesenteritis, a multidisciplinary team approach, similar to that recommended for inflammatory bowel disease 1, is likely beneficial for optimizing patient outcomes, including morbidity, mortality, and quality of life. This approach ensures comprehensive care, addressing the various aspects of the disease and its impact on the patient's health and well-being.
From the Research
Specialty for Treating Sclerosing Mesenteritis
The specialty that treats sclerosing mesenteritis is not explicitly stated in the provided studies. However, based on the information provided, the following specialties may be involved in the treatment of sclerosing mesenteritis:
- Gastroenterology: Studies 2, 3, 4, 5, 6 suggest that gastroenterologists may be involved in the diagnosis and treatment of sclerosing mesenteritis, as the condition affects the small bowel mesentery and can cause symptoms such as abdominal pain, diarrhea, and weight loss.
- General Surgery: Studies 2, 3, 5, 6 indicate that general surgeons may be involved in the treatment of sclerosing mesenteritis, particularly in cases where surgical intervention is necessary, such as bowel obstruction or other complications.
- Radiology: Study 4 mentions that computed tomography imaging of the abdomen is commonly used to diagnose sclerosing mesenteritis, suggesting that radiologists may be involved in the diagnostic process.
Treatment Options
The treatment options for sclerosing mesenteritis vary depending on the severity of symptoms and the presence of complications. Some treatment options mentioned in the studies include:
- Medical therapy: Studies 2, 3, 4, 6 suggest that medical therapy, such as corticosteroids, azathioprine, and tamoxifen, may be effective in treating sclerosing mesenteritis.
- Surgery: Studies 2, 3, 5, 6 indicate that surgery may be necessary in some cases, such as bowel obstruction or other complications.
- Watchful waiting: Study 2 mentions that watchful waiting may be an option for patients with mild symptoms or asymptomatic patients.