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Digestive Disease Interventions 2018; 02(03): 240-243
DOI: 10.1055/s-0038-1668569
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Diagnosis and Management of Nonocclusive Mesenteric Ischemia

Himani Agarwal
2   Department of Clinical Radiology, Scunthorpe General Hospital, Northern Lincolnshire and Goole NHS Trust, Scunthorpe, North Lincolnshire, England, United Kingdom
,
Anil K. Pillai
3   Division of Interventional Radiology, Department of Radiology, University of Texas Health Sciences Centre, Houston, Texas
,
Sanjeeva P. Kalva
1   University of Texas Southwestern Medical Center at Dallas, Dallas, Texas
› Author Affiliations
Further Information

Publication History

16 June 2018

04 July 2018

Publication Date:
03 September 2018 (online)

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Abstract

Acute hypoperfusion of the bowel without mechanical occlusion of the arterial or venous circulation is referred to as nonocclusive mesenteric ischemia (NOMI) and is responsible for approximately one fourth of all arterial causes of mesenteric ischemia. Patients present with nonspecific symptoms, making clinical diagnosis difficult. Prognosis is poor with high mortality rates. Mortality rates have improved during the past two decades from 80 to 50% due to early diagnosis and prompt initiation of treatment. In this review, we discuss the etiology, pathophysiology, and symptoms of NOMI as well as radiological findings and management along with comprehensive review of the literature.

Keywords

nonocclusive mesenteric ischemia - CT - mesenteric ischemia - bowel ischemia
 

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