Talk:Intestinal ischemia

Possible error
A reader wrote to the Foundation with the following observations:

Issue: Under the "Signs and Symptoms" section of Mesenteric Ischemia, the first 8 lines describing "three progressive phases"  refer to a different medical condition, ischemic colitis. The Article on Ischemic colitis, has this same exact information. Something is wrong about this. It may be just the condition name in the Mesenteric Ischemia article, or maybe the entire section "Signs and Symptoms" is incorrect, I don't know which. I have pasted below the "Signs and Symptoms" section from both articles, highlighting the wording that is exactly the same, and bolding the incorrect condition named in the Mesenteric Ischemia article. Thank you for your attention to this matter. This is from: Article : Mesenteric_Ischemia     http://en.wikipedia.org/wiki/Mesenteric_ischemia

Signs and symptoms[edit]

Three progressive phases of ischemic colitis have been described:[5][6]

A hyper active stage occurs first, in which the primary symptoms are severe abdominal pain and the passage of bloody stools. Many patients get better and do not progress beyond this phase.

A paralytic phase can follow if ischemia continues; in this phase, the abdominal pain becomes more widespread, the belly becomes more tender to the touch, and bowelmotility decreases, resulting in abdominal bloating, no further bloody stools, and absent bowel sounds on exam.

Finally, a shock phase can develop as fluids start to leak through the damaged colon lining. This can result in shock and metabolic acidosis with dehydration, low blood pressure, rapid heart rate, and confusion. Patients who progress to this phase are often critically ill and require intensive care.

This is from: Article: Ischemic Colitis  http://en.wikipedia.org/wiki/Ischemic_colitis

Signs and symptoms[edit]

Three progressive phases of ischemic colitis have been described:[9][10]

A hyperactive phase occurs first, in which the primary symptoms are severe abdominal pain and the passage of bloody stools. Many patients get better and do not progress beyond this phase.

A paralytic phase can follow if ischemia continues; in this phase, the abdominal pain becomes more widespread, the belly becomes more tender to the touch, and bowelmotility decreases, resulting in abdominal bloating, no further bloody stools, and absent bowel sounds on exam.

Finally, a shock phase can develop as fluids start to leak through the damaged colon lining. This can result in shock and metabolic acidosis with dehydration, low blood pressure, rapid heart rate, and confusion. Patients who progress to this phase are often critically ill and require intensive care.

Symptoms of ischemic colitis vary depending on the severity of the ischemia. The most common early signs of ischemic colitis include abdominal pain(often left-sided), with mild to moderate amounts of rectal bleeding.[11] The sensitivity of findings among 73 patients were:[12]

abdominal pain (78%) lower digestive bleeding (62%) diarrhea (38%) Fever higher than 38°C (34%) (38°C equals approximately 100.4°F)

Physical examination[12]

abdominal pain (77%) abdominal tenderness (21%)

I am not a subject matter expert; I will invite the reader to join this discussion in case there are any questions.-- S Philbrick (Talk)  00:26, 21 April 2014 (UTC)

Mesenteric venous thrombosis
10.1161/CIRCULATIONAHA.114.012871 JFW &#124; T@lk  22:13, 6 May 2015 (UTC)

CTA
is the modern gold standard for diagnosis of embolic acute mesenteric ischemia. Need to find a way to work this in BakerStMD 17:18, 10 June 2019 (UTC)

Requested move 20 May 2021

 * The following is a closed discussion of a requested move. Please do not modify it. Subsequent comments should be made in a new section on the talk page. Editors desiring to contest the closing decision should consider a move review after discussing it on the closer's talk page. No further edits should be made to this discussion. 

The result of the move request was: Moved  (t &#183; c)  buidhe  06:25, 28 May 2021 (UTC)

Mesenteric ischemia → Intestinal ischemia – We need a more specific title, because currently there's a hatnote that says that this article deals specifically with the small bowel, but "colon" is repeatedly mentioned in the article text. When looking at the sources of this article, I can't readily find a single one that specifically deals exclusively with the small bowel rather than the colon. After all, they largely share the same vascular supply through the Superior mesenteric artery. So if we were to follow the hatnote and make this exclusively about the small bowel, almost all of this article would have to be deleted and rewritten, with a very limited amount of source articles on the topic. Although many sources specifically define "Mesenteric ischemia" as small bowel ischemia, this is not universal. For example, the Society for Vascular Surgery defines it as "poor circulation in the vessels supplying blood flow to your mesenteric organs: your stomach, liver, colon and intestine" (Mesenteric Ischemia at vascular.org), which is also anatomically correct by the definition of Mesentery. I think a proper balance is to have this article be an overview of intestinal ischemia. Ischemic colitis can then either be merged into it, or remain a wp:fork, but that can be decided later. Mikael Häggström (talk) 15:11, 20 May 2021 (UTC)
 * Support. Rreagan007 (talk) 19:16, 20 May 2021 (UTC)
 * Support. Although the n-gram demonstrates 'mesenteric ischemia' is more commonly used, I note that intestinal ischemia is the ICD preferred term and am convinced by Mikael's arguments; I think it makes the page's scope much clearer. A 'terminology' section can always be present to explain the various terms used if required.Tom (LT) (talk) 22:09, 21 May 2021 (UTC)

Mesenteric artery thrombosis
Mesenteric artery thrombosis might be worth mentioning in this article. See . Eastmain (talk • contribs) 07:47, 8 April 2024 (UTC)