Diagnosis of mesenteric ischemia begins with a description of your current symptoms, a medical history, physical exam and blood tests. Your doctor will ask you questions about your symptoms. You may also need an evaluation by a gastroenterologist.
As part of the diagnosis, doctors who specialize in the interpretation of medical images (radiologists) may perform tests to rule out other conditions and evaluate blood flow, including:
May 09, 2015
- Doppler ultrasound. High-frequency sound waves help your doctor see images of your blood vessels.
- CT scan/CT angiography. A CT scan uses X-rays to create detailed images of your arteries and of some organs. A CT angiogram (CTA) is a noninvasive way for doctors to see the details of your blood vessels, including narrowing and blockages.
- Magnetic resonance angiography (MRA). Magnetic fields and radio waves produce detailed images of your blood vessels.
- Mesenteric angiogram. A mesenteric angiogram is the standard test for evaluating blood flow and finding the blockage in the blood vessel. In this test, your doctor guides a thin, flexible tube (catheter) through the artery and inserts a dye to make the artery visible on an X-ray. Sometimes the doctor can treat the blocked arteries with a balloon angioplasty or stent during the angiogram.
- Cudnick MT, et al. The diagnosis of acute mesenteric ischemia: A systematic review and meta-analysis. Academic Emergency Medicine. 2013;20:1088.
- Hall JB, et al. Mesenteric ischemia. In: Principles of Critical Care. 3rd ed. New York, NY: McGraw-Hill; 2005. http://accessmedicine.com. Accessed Feb. 28, 2015.
- Pecoraro F, et al. Chronic mesenteric ischemia: Critical review and guidelines for management. Annals of Vascular Surgery. 2013;27:113.
- Oderich GS, et al. Mesenteric artery complications during angioplasty and stent placement for atherosclerotic chronic mesenteric ischemia. Journal of Vascular Surgery. 2012;55:1063.
- Greenberger NJ, et al. Mesenteric vascular disease. In: Current Diagnosis & Treatment: Gastroenterology, Hepatology, & Endoscopy. 2nd ed. New York, NY: McGraw-Hill; 2012. http://www.accessmedicine.com. Accessed Feb. 28, 2015.
- Golden, AK. Decision Support System. Mayo Clinic, Rochester, Minn. Feb. 18, 2015.
- Tallarita T, et al. Patient survival after open and endovascular mesenteric revascularization for chronic mesenteric ischemia. Journal of Vascular Surgery. 2013;57:747.
- Kanamori KS. Outcomes of reoperative open or endovascular interventions to treat patients with failing open mesenteric reconstructions for mesenteric ischemia. Journal of Vascular Surgery. 2014;60:1612.
- Ryer EJ, et al. Revascularization for acute mesenteric ischemia. Journal of Vascular Surgery. 2012;55:1682.
- Rajan E (expert opinion). Mayo Clinic, Rochester, Minn. April 28, 2015.
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