Current Management of Post-operative Mesenteric Ischemia

Mesenteric ischemia is a rare but serious medical condition characterized by a reduction or cessation of blood flow to the intestines resulting in intestinal ischemia, tissue damage, and possible organ failure. The condition is caused by stenosis or occlusion of the mesenteric arteries, specifically the celiac and/or superior mesenteric artery; however, it may also be secondary to non-occlusive mesenteric ischemia (NOMI) or mesenteric venous thrombosis (MVT). Although all types of mesenteric ischemia involve impaired blood flow within the intestines, they have several distinct differences in clinical presentation, treatment, and post-operative care. Essential understanding of the etiology of ischemia, surgical treatment, and pre- and post-procedure laboratory and vital sign derangements are necessary for proper post-operative management of this complex patient population.