From the Research
Treatment Options for Chronic Mesenteric Ischemia
- The main treatment options for chronic mesenteric ischemia include surgical approaches to revascularization and catheter-based interventions 1
- Medical management of chronic mesenteric ischemia is mostly supportive, with antiplatelet agents and warfarin being helpful in preventing further thrombosis in disorders of coagulation 2
- Surgery has been the mainstay of therapy for chronic mesenteric ischemia, with extensive disease often requiring complete revascularization 2
- Minimally invasive vascular procedures such as percutaneous endovascular angioplasty and stenting are also effective for short-segment atherosclerotic stenosis 2
Effectiveness of Oral Nitroglycerin
- There is no mention of oral nitroglycerin as a treatment option for chronic mesenteric ischemia in the provided studies 3, 1, 2, 4, 5
Diagnosis and Management
- Chronic mesenteric ischemia is a clinical diagnosis, based upon typical and atypical symptoms and consistent anatomic findings 3
- The diagnosis of chronic mesenteric ischemia can be made by noninvasive methods such as computerised axial tomographic angiography, magnetic resonance angiography, and duplex ultrasonography, as well as by invasive catheter angiography 5
- The management of chronic mesenteric ischemia relies on a combination of medical protocol, revascularization of viable bowel, and surgical resection of necrotic tissue 4