The goal of treatment for mesenteric ischemia (both chronic and acute) is to re-open the artery to allow adequate blood flow to reach your intestine, so it can work properly. Because this must be accomplished before permanent damage is done to the bowel, your vascular surgeon may treat mesenteric ischemia as an emergency (for acute mesenteric ischemia) or as a scheduled procedure (usually for chronic mesenteric ischemia).
Treatment for chronic mesenteric ischemia
- Open surgery; usually this is as bypass surgery
- Angioplasty and stenting
Treatment for acute mesenteric ischemia
Treatment is usually open surgery. If the cause is a clot, then the surgeon will remove the clot from the artery in a procedure called a thromboembolectomy. In some cases, the surgeon will need to perform a bypass.
Since the effectiveness, risk, and durability of each approach available for the treatment of mesenteric ischemia depends upon many issues, your vascular surgeon will advise you as to what procedure is the best for your particular situation.