Mesenteric ischemia historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]

Historical Perspective

Discovery

• In 1936, Dunphy was the first one to corrleate chronic abdominal pain to subsequent mesenteric artery occlusion and gut infarction.
• In 1843, Tiedemann described mesenteric occlusion and bowel infarction in a patient, followed by Virchow who added two more patients to the literature.
• In 1887, Welch proposed the concept for ischemic bowel changes to occur, superior mesenteric artery (SMA) should be 80% stenosed.
• In 1904, Jackson, Parker and Quinby stated both arterial and venous occlusion of the mesenteric circulation.
• In 1913, Trotter studied 359 cases of infarcted bowel. He explained a relationship between cardiac diasesas and embolus to the SMA and a connection between arteriosclerosis of the aorta and thrombosis of mesenteric vessles.
• In 1921, Klein wrote a thesis on embolism and thrombosis, in which he pointed out a relationship between SMA stenosis and episodic abdominal pain.

Outbreaks

• There have been several outbreaks of [disease name], which are summarized below:

Landmark Events in the Development of Treatment Strategies

• In 1980, endovascular treatment of mesenteric disease was introduced.

Famous Cases

• The following are a few famous cases of disease name: