3 Types of Intestinal Ischemia Flashcards
1
Q
Name the 3 kinds of Ischemia.
A
Acute Mesenteric, Chronic Mesenteric (think angina), Colon ischemia.
2
Q
What two areas of the colon are most predisposed to ischemia?
A
Splenic flexure and Rectosigmoid junction. These areas are the very outer limits of blood coverage. Known as watershed areas that suffer during hypoperfusion.
3
Q
What 3 arteries supply colon?
Which is most likely to be occluded by a plaque embolus?
A
SMA, IMA, Internal iliac.
SMA comes off the aorta at a narrow angle and is predisposed to be occluded.
4
Q
Pain after eating in Chronic Mesenteric ischemia leads to what…
A
Food aversion.
5
Q
What is the gold standard of diagnosis?
A
CT angiography with high resolution scan of the abdomen.
