European guidelines on chronic mesenteric ischaemia - joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric ischaemia

被引：104

作者：

Terlouw, Luke G. ^{[1
,2
]}

Moelker, Adriaan ^{[2
]}

Abrahamsen, Jan ^{[3
]}

Acosta, Stefan ^{[4
,5
]}

Bakker, Olaf J. ^{[6
,7
]}

Baumgartner, Iris ^{[8
]}

Boyer, Louis ^{[9
]}

Corcos, Olivier ^{[10
]}

van Dijk, Louisa J. D. ^{[11
]}

Duran, Mansur ^{[11
]}

Geelkerken, Robert H. ^{[12
,13
]}

Illuminati, Giulio ^{[14
]}

Jackson, Ralph W. ^{[15
]}

Karkkainen, Jussi M. ^{[16
,17
]}

Kolkman, Jeroen J. ^{[18
,19
]}

Lonn, Lars ^{[20
]}

Mazzei, Maria A. ^{[21
]}

Nuzzo, Alexandre ^{[22
]}

Pecoraro, Felice ^{[23
]}

Raupach, Jan ^{[24
]}

Verhagen, Hence J. M. ^{[25
]}

Zech, Christoph J. ^{[26
]}

van Noord, Desiree ^{[27
]}

Bruno, Marco J. ^{[1
]}

机构：

[1] Erasmus MC Univ, Dept Gastroenterol & Hepatol, Med Ctr, Dr Molewaterpl 40, NL-3015 GD Rotterdam, Netherlands

[2] Erasmus MC Univ, Dept Radiol, Med Ctr, Rotterdam, Netherlands

[3] Viborg Reg Hosp, Dept Clin Physiol, Viborg, Denmark

[4] Lund Univ, Dept Clin Sci Malm, Lund, Sweden

[5] Skane Univ Hosp, Dept Cardio Thorac & Vasc Surg, Malmo, Sweden

[6] St Antonius Hosp, Dept Vasc Surg, Nieuwegein, Netherlands

[7] Univ Hosp Leipzig, Dept Vasc Surg, Leipzig, Germany

[8] Univ Bern, Univ Hosp Bern, Div Angiol, Swiss Cardiovasc Ctr, Bern, Switzerland

[9] Gabriel Montpied Univ Hosp, Dept Diagnost Intervent Radiol, Clermont Ferrand, France

[10] Hop Beaujon, AP HP, Dept Gastroenterol, Intestinal Stroke Ctr, Clichy, France

[11] Marien Hosp, Dept Vasc & Endovasc Surg, Gelsenkirchen, Germany

[12] Med Spectrum Twente, Dept Vasc Surg, Enschede, Netherlands

[13] Univ Twente, Fac Sci & Technol, Multimodal Med Imaging M3I Grp, Tech Med Ctr, Enschede, Netherlands

[14] Univ Rome Sapienza, Dept Surg Sci, Rome, Italy

[15] Newcastle Tyne Hosp NHS Fdn Trust, Dept Intervent Radiol, Newcastle Upon Tyne, Tyne & Wear, England

[16] Kuopio Univ Hosp, Ctr Heart, Kuopio, Finland

[17] Mayo Clin, Dept Vasc Surg, Rochester, MN USA

[18] Med Spectrum Twente, Dept Gastroenterol & Hepatol, Enschede, Netherlands

[19] Univ Med Ctr Groningen, Dept Gastroenterol & Hepatol, Groningen, Netherlands

[20] Univ Copenhagen, Dept Radiol, Copenhagen, Denmark

[21] Univ Siena, Azienda Osped Univ Senese, Dept Med Surg & Neuro Sci, Siena, Italy

[22] Hop Beaujon, AP HP, Dept Gastroenterol, Clichy, France

[23] Univ Palermo, Vasc Surg Unit, Dept Surg Oncol & Oral Sci, AOUP P Giaccone Palermo, Palermo, Italy

[24] Univ Hosp Hradec Kralove, Dept Radiol, Hradec Kralove, Czech Republic

[25] Erasmus MC Univ, Dept Vasc Surg, Med Ctr, Rotterdam, Netherlands

[26] Univ Basel, Radiol & Nucl Med, Basel, Switzerland

[27] Franciscus Gasthuis & Vlietland, Dept Gastroenterol & Hepatol, Rotterdam, Netherlands

来源：

UNITED EUROPEAN GASTROENTEROLOGY JOURNAL | 2020年 / 8卷 / 04期

关键词：

Median arcuate ligament syndrome; atherosclerosis; mesenteric arteries; mesenteric artery stenting; coeliac artery release; MEDIAN ARCUATE LIGAMENT; DUAL ANTIPLATELET THERAPY; ARTERY COMPRESSION SYNDROME; GASTRIC EXERCISE TONOMETRY; ENHANCED MR-ANGIOGRAPHY; ANTITHROMBOTIC THERAPY; SURGICAL-TREATMENT; STENT PLACEMENT; FOCUSED UPDATE; SUPERIOR;

D O I：

10.1177/2050640620916681

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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.

引用

页码：371 / 395

页数：25

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