Patología vascular mesentérica
- Irene Peñas Herrero 1
- Rebeca Pintado Garrido 2
- Isabel San José Crespo 1
- Carolina Almohalla Álvarez 1
- 1 Unidades de Hepatología, Hospital Universitario Río Hortega, Valladolid, España
- 2 Unidades de Radiología vascular, Hospital Universitario Río Hortega, Valladolid, España
ISSN: 0304-5412
Year of publication: 2024
Issue Title: Enfermedades del aparato digestivo (XII) Patología peritoneal, portal y mesentérica
Series: 14
Issue: 12
Pages: 672-690
Type: Article
More publications in: Medicine: Programa de Formación Médica Continuada Acreditado
Abstract
Mesenteric vascular disease is wide-ranging and can produce different manifestations depending on various factors, including the presence of symptoms or not; the clinical form of presentation; the vessels involved, duration, and cause; and collateral blood flow. The clinical entities described herein include acute and chronic mesenteric artery ischemia; nonocclusive mesenteric ischemia; acute, subacute, and chronic mesenteric venous thrombosis; focal segmental ischemia of the small intestine; colonic ischemia; arterial aneurysms; and vasculitis. This disease produces a wide spectrum of clinical symptoms that share the same predisposing factors and many etiologies, although with different consequences. Abdominal pain is the most common clinical symptom in these diseases. In acute forms, high clinical suspicion is essential for making a rapid diagnosis and early treatment that prevents more severe lesions. The widespread use of computed tomography has led to greater diagnostic rates with an improved prognosis for these patients. Treatment varies from conservative to surgical, depending on the case. Early anticoagulation is a fundamental treatment in many cases and in recent years, vascular radiology techniques have been developed which produce good results.
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