Intestinal ischemia

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Intestinal ischemia
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Abdominal pain, vomiting, diarrhea, bloody stool
Complications	Sepsis, perforation, peritonitis, death
Onset	Sudden or gradual
Duration	Variable
Types	N/A
Causes	Atherosclerosis, embolism, thrombosis, hypotension
Risks	Smoking, high blood pressure, high cholesterol, diabetes, age
Diagnosis	CT scan, MRI, angiography, colonoscopy
Differential diagnosis	Gastroenteritis, appendicitis, inflammatory bowel disease
Prevention	N/A
Treatment	Surgery, angioplasty, anticoagulants, antibiotics
Medication	Anticoagulants, vasodilators
Prognosis	Variable, depends on severity and treatment
Frequency	Rare
Deaths	N/A

Mesenteric ischemia with pneumatosis intestinalis and gas in mesenteric and hepatic veins

Intestinal ischemia refers to a medical condition characterized by an inadequate blood supply to the intestine, leading to inflammation and injury of the intestinal tissues. This condition can affect the small intestine, large intestine, or both.

Causes

Intestinal ischemia is often caused by a blockage in the arteries that supply blood to the intestine. This blockage can be due to:

• Blood clots: These can form in the heart or a large artery, then travel through the bloodstream and block a smaller artery in the intestine.
• Atherosclerosis: This is a condition where fatty deposits build up on the inner walls of the arteries, narrowing them and reducing blood flow.
• Vasculitis: This is an inflammation of the blood vessels that can cause blockages.
• Hernia: A hernia can cause a portion of the intestine to become twisted or kinked, blocking blood flow.

Symptoms

Symptoms of intestinal ischemia can vary depending on the severity and location of the condition. They may include:

• Abdominal pain: This is often severe and sudden in onset.
• Nausea and vomiting
• Diarrhea
• Blood in the stool
• Fever

Diagnosis

Diagnosis of intestinal ischemia typically involves a combination of medical history, physical examination, and diagnostic tests. These tests may include:

• Blood tests: These can help identify signs of infection or inflammation.
• Imaging tests: These may include CT scan, MRI, or ultrasound to visualize the blood vessels and intestines.
• Angiography: This is a procedure that uses dye and special X-rays to show the inside of the blood vessels.

Treatment

Treatment for intestinal ischemia aims to restore blood flow to the intestine as quickly as possible. This may involve:

• Medication: Drugs can be used to dissolve blood clots, reduce inflammation, or treat infection.
• Surgery: In severe cases, surgery may be needed to remove the blockage or repair damaged sections of the intestine.

Prognosis

The prognosis for intestinal ischemia depends on the extent of the condition and the patient's overall health. Early diagnosis and treatment can improve the prognosis significantly.

See also

• Ischemia
• Abdominal pain
• Blood clot
• Atherosclerosis

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