The Society for Vascular Surgery clinical practice guidelines define the optimal care of patients with chronic mesenteric ischemia

Chronic mesenteric ischemia (CMI), caused by insufficient postprandial intestinal perfusion, results from atherosclerotic occlusive disease of the celiac artery (CA), superior mesenteric artery (SMA), and/or inferior mesenteric artery. Although the reported incidence of CMI has slightly increased during the past two decades,1,2 a dramatic shift has also occurred, paralleling the larger discipline of vascular surgery, in both the imaging,3 and the definitive treatment, of the condition.4-6 The Society for Vascular Surgery (SVS) Evidence Review Committee has proposed guidelines, based on a formal systematic review and meta-analyses of the literature, for the six components for the evaluation and treatment of patients with CMI, including diagnostic evaluation, indications for treatment, choice of treatment, perioperative evaluation, endovascular or open revascularization, and surveillance or remediation.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Editorial Source Type: research
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