Management and outcomes of chronic mesenteric ischemia in older adults: A comprehensive review

IF 2.4 3区医学 Q1 PERIPHERAL VASCULAR DISEASE

Seminars in Vascular Surgery Pub Date : 2025-09-01 DOI:10.1053/j.semvascsurg.2025.06.001

Yashashwini Sudina , Hind Anan , Joelle Daher , Rabih A. Chaer

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引用次数: 0

Abstract

Chronic mesenteric ischemia (CMI) is a rare, yet increasingly prevalent, condition, especially among older adults. Diagnosing CMI in older adults presents significant challenges. Along with the burden of comorbidities and the physiological changes associated with aging, timely intervention is often delayed, leading to poorer outcomes. Current diagnostic protocols and treatment guidelines do not address the unique challenges faced by this population. In this comprehensive review, the authors examined the existing literature on diagnostic strategies and management options for CMI in older adults. The importance of a thorough preoperative workup and early optimization to minimize perioperative stress, while considering nutritional and functional capabilities, is emphasized. Risk stratification models incorporating frailty and other geriatric-specific indices can inform therapeutic decisions and improve outcomes. Despite the increasing disease burden in this group, there are limited data on long-term outcomes, the impact of nutrition, and quality of life metrics after intervention. This emphasizes the necessity for more prospective studies to address these gaps and implement age-specific approaches for the evaluation and treatment of older adult patients with CMI.

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老年人慢性肠系膜缺血的处理和结果：一项全面的综述

慢性肠系膜缺血（CMI）是一种罕见但越来越普遍的疾病，尤其是在老年人中。老年CMI的诊断面临着重大挑战。随着合并症的负担和与衰老相关的生理变化，及时干预往往被推迟，导致预后较差。目前的诊断方案和治疗指南没有解决这一人群面临的独特挑战。在这篇全面的综述中，作者检查了现有的关于老年人CMI的诊断策略和管理选择的文献。强调全面的术前检查和早期优化的重要性，以尽量减少围手术期应激，同时考虑营养和功能能力。纳入虚弱和其他老年特异性指标的风险分层模型可以为治疗决策提供信息并改善结果。尽管这一群体的疾病负担不断增加，但有关干预后的长期结局、营养影响和生活质量指标的数据有限。这强调需要更多的前瞻性研究来解决这些差距，并实施针对年龄的方法来评估和治疗老年CMI患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Vascular Surgery 医学-外科

CiteScore

3.50

自引率

4.00%

发文量

审稿时长

50 days

期刊介绍： Each issue of Seminars in Vascular Surgery examines the latest thinking on a particular clinical problem and features new diagnostic and operative techniques. The journal allows practitioners to expand their capabilities and to keep pace with the most rapidly evolving areas of surgery.