Mesenteric ischemia secondary prevention

Jump to navigation Jump to search

Mesenteric ischemia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Mesenteric ischemia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Guidelines for Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

MRA

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Mesenteric ischemia secondary prevention On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Mesenteric ischemia secondary prevention

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Mesenteric ischemia secondary prevention

CDC on Mesenteric ischemia secondary prevention

Mesenteric ischemia secondary prevention in the news

Blogs on Mesenteric ischemia secondary prevention

Directions to Hospitals Treating Mesenteric ischemia

Risk calculators and risk factors for Mesenteric ischemia secondary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]

Overview

Effective measures to prevent recurrence of mesenteric ischemia include screening by duplex ultrasonography, nutritional and life style modification, and drug therapy.

Secondary Prevention

The secondary prevention of mesenteric ischemia is similar to its primary prevention.

Effective measures for the secondary prevention of mesenteric ischemia includes the following:[1][2][3][4]

  • In patients with history of mesenteric ischemia, duplex ultrasonography is recommended after every 6 months for one year, and yearly thereafter.
  • All patients at risk of developing mesenteric ischemia, should be educated about the signs and symptoms of the disease.
  • Patients who undergo endovascular repair for mesenteric ischemia should be recommended the following:
    • Lifelong aspirin and statin therapy
    • Clopidogrel for 1-3 months after the procedure
    • Lifelong oral anticoagulants in case of persistent atrial fibrillation, mesenetric venous thrombosis and inherited or acquired thrombophilias.
    • Nutritional status and body weight should be monitored

References

  1. Klempnauer J, Grothues F, Bektas H, Pichlmayr R (1997). "Long-term results after surgery for acute mesenteric ischemia". Surgery. 121 (3): 239–43. PMID 9068664.
  2. Otte JA, Geelkerken RH, Huisman AB, Kolkman JJ (2007). "What is the best diagnostic approach for chronic gastrointestinal ischemia?". Am J Gastroenterol. 102 (9): 2005–10. doi:10.1111/j.1572-0241.2007.01359.x. PMID 17573786.
  3. Veenstra RP, ter Steege RW, Geelkerken RH, Huisman AB, Kolkman JJ (2012). "The cardiovascular risk profile of atherosclerotic gastrointestinal ischemia is different from other vascular beds". Am J Med. 125 (4): 394–8. doi:10.1016/j.amjmed.2011.09.013. PMID 22305578.
  4. Tokgözoğlu L, Bariş Kaya E (2008). "Atherosclerotic vascular disease and risk factors in Turkey: from past to present". J Atheroscler Thromb. 15 (6): 286–91. PMID 19075493.