Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
Department of Radiology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
United European Gastroenterol J. 2020 May;8(4):371-395. doi: 10.1177/2050640620916681. Epub 2020 Apr 16.
Chronic mesenteric ischaemia is a severe and incapacitating disease, causing complaints of post-prandial pain, fear of eating and weight loss. Even though chronic mesenteric ischaemia may progress to acute mesenteric ischaemia, chronic mesenteric ischaemia remains an underappreciated and undertreated disease entity. Probable explanations are the lack of knowledge and awareness among physicians and the lack of a gold standard diagnostic test. The underappreciation of this disease results in diagnostic delays, underdiagnosis and undertreating of patients with chronic mesenteric ischaemia, potentially resulting in fatal acute mesenteric ischaemia. This guideline provides a comprehensive overview and repository of the current evidence and multidisciplinary expert agreement on pertinent issues regarding diagnosis and treatment, and provides guidance in the multidisciplinary field of chronic mesenteric ischaemia.
慢性肠系膜缺血是一种严重且使人丧失能力的疾病,可导致餐后疼痛、进食恐惧和体重减轻等症状。尽管慢性肠系膜缺血可能进展为急性肠系膜缺血,但慢性肠系膜缺血仍然是一种被低估和治疗不足的疾病实体。可能的原因是医生缺乏相关知识和认识,以及缺乏金标准诊断测试。对这种疾病的认识不足导致诊断延迟、慢性肠系膜缺血患者的漏诊和治疗不足,可能导致致命的急性肠系膜缺血。本指南提供了关于诊断和治疗相关问题的当前证据和多学科专家共识的全面概述和知识库,并为慢性肠系膜缺血的多学科领域提供了指导。