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Operative und interventionelle Gefäßmedizin pp 1–31Cite as

Chronische intestinale Ischämie

  • Living reference work entry
  • First Online:

  • 237 Accesses

Part of the book series: Springer Reference Medizin ((SRM))

Zusammenfassung

Der häufigste Grund für eine chronische mesenteriale Ischämie (CMI) ist die Arteriosklerose, welche für mehr als 90 % der Fälle verantwortlich ist. Die arteriosklerotischen Läsionen betreffen meist den Ursprung oder die proximalen 2–3 cm der Mesenterialarterien, häufig in Verbindung mit einem Plaque in der Aorta und der Nierenarterien. Die Häufigkeit der mesenterialen Arteriosklerose reicht in Autopsiestudien von 6–10 %; bei Patienten, die einer Koronarangiografie oder aortalen Angiografie unterzogen wurden, steigt die Prävalenz auf 14–24 % an. Bildgebende Untersuchungen zeigen typischerweise in mehreren Gefäßterritorien Stigmata der Atherosklerose. Nicht-arteriosklerotische Läsionen können ebenfalls die Mesenterialarterien betreffen. Diese Patienten sind meist jünger. Die Vielfalt der diagnostischen Möglichkeiten bedarf einer intensiven Untersuchung, auch nach Vaskulitiden systemischem Lupus erythematodes, Morbus Winiwarter-Buerger, spontanen Dissektionen, fibromuskulärer Dysplasie, Neurofibromatose, Strahlungsarteriitis, Stenosen oder Okklusionen der Mesenterialvenen und medikamenteninduzierter Arteriopathien durch Kokain oder Mutterkornkonsum. Isthmusstenosen der Aorta abdominalis oder das „Mid Aortic Syndrom“ (Kap. „Gefäßmedizin bei Kindern und Heranwachsenden“) können ebenfalls Symptome einer mesenterialen Ischämie verursachen.

Der Herausgeber Eike Sebastian Debus hat diesen Beitrag übersetzt und freigegeben.

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Authors and Affiliations

  1. Vascular and Endovascular Surgery, Yale School of Medicine, New Haven, USA

    Young Erben

  2. Mayo Clinic, Rochester, USA

    Gustavo S. Oderich

  3. Klinik und Poliklinik für Gefäßmedizin, Universitäres Herz- und Gefäßzentrum Hamburg, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    Eike Sebastian Debus

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  1. Young Erben
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  2. Gustavo S. Oderich
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  3. Eike Sebastian Debus
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Correspondence to Eike Sebastian Debus .

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  1. Klinik und Poliklinik für Gefäßmedizin, Universitäres Herzzentrum GmbH, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany

    Eike Sebastian Debus

  2. Radiologie, Allgemeines Krankenhaus Harburg Abt. Diagnostische und Interventionelle, Hamburg, Germany

    Walter Gross-Fengels

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  1. Klinik und Poliklinik für Gefäßmedizin, Universitäres Herzzentrum Hamburg, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    Eike Sebastian Debus

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Erben, Y., Oderich, G.S., Debus, E.S. (2019). Chronische intestinale Ischämie. In: Debus, E., Gross-Fengels, W. (eds) Operative und interventionelle Gefäßmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45856-3_79-1

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