Publication:

Surgical management and outcomes of chronic mesenteric ischemia

Chronic mesenteric ischemia (CMI) is a vascular condition resulting from atherosclerotic blockage of the mesenteric arteries, which reduces blood flow to the intestines. Though rare, CMI is critical to diagnose due to the risk of progression to acute mesenteric ischemia, which can be life-threatening. This review discusses the pathophysiology, clinical presentation, and diagnostic challenges of CMI, emphasizing the need for timely revascularization to improve patient outcomes. Both endovascular and open-surgical techniques are examined, with a focus on patient selection and procedural outcomes. Endovascular interventions, preferred for their lower morbidity, have shown promising results despite a higher risk of restenosis. Comprehensive management, including aggressive medical therapy and lifestyle modifications, remains essential to address the underlying atherosclerosis. Given the complexity of CMI, a multidisciplinary approach is recommended to ensure accurate diagnosis and optimal treatment. This review emphasizes the significance of early diagnosis and customized treatments to improve the quality of life and survival rates in patients with CMI.