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Mesenteric Ischaemia Treatment

Mesenteric Ischemia can be considered as an attack of your gut (Stomach & intestine) similar to heart attack.

What is Mesenteric Ischemia?

It is a disease with blood clot (thrombus) formation/severe narrowing in arteries of stomach & intestines.
It leads to sudden reduction in blood circulation of gut leading to death of the body cells of stomach/intestine.

Is it a serious problem?

Yes. It’s an emergency condition & you must see a qualified vascular surgeon immediately.

Why does it happen?

Mainly two reasons

  1. Clot, pushed out of heart towards arteries of gut (Seen in patients with pre-existing heart problems)
  2. Fresh clot formation at areas of partial blockage (in pre-existing diseased patients)

Who are at risk?

  • Old age (>50 years)
  • Smokers or Tobacco chewing (Any age group)
  • Diabetes Mellitus
  • High Blood Pressure
  • High blood cholesterol levels / Obesity
  • Pre – existing Heart disease / PAD
  • Those with blood clotting tendencies

What are the symptoms / clinical presentation?

  • Severe abdominal pain
  • Pain worsening with taking food
  • Food fear + weight loss
  • What if I neglect it?

    It’s a condition similar to heart attack.
    If blood vessel remains blocked for prolonged time, blackening of intestines can develop, which is called ‘Gangrene’. You may end up losing your intestines, which can be life threatening.
    To avoid major intestine removal surgery, it’s better to consult a vascular surgeon as soon as possible.

    What to do next if I am suspecting ALI in my legs?

    Consult a Vascular surgeon for assessment. Doctor will advise a CT scan of your abdomen & will explain you further course of treatment.

    What are the treatment options?

    Urgent thrombolysis (clot dissolving procedure)
  • Vacular stenting of mesenteric arteries
  • Vascular bypass of mesenteric arteries