Mesenteric ischemia secondary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
Effective measures to prevent recurrence of mesenteric ischemia include screening by duplex ultrasonography, nutritional and life style modification, and drug therapy. | |||
==Secondary Prevention== | ==Secondary Prevention== | ||
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* In patients with history of mesenteric ischemia, '''duplex ultrasonography''' is recommended after every '''6 months for one year''', and yearly thereafter. | * In patients with history of mesenteric ischemia, '''duplex ultrasonography''' is recommended after every '''6 months for one year''', and yearly thereafter. | ||
* All patients at risk of developing mesenteric ischemia, should be educated about the signs and symptoms of the disease. | * All patients at risk of developing mesenteric ischemia, should be educated about the signs and symptoms of the disease. | ||
* Patients who undergo endovascular repair for mesenteric ischemia should be recommended the following | * Patients who undergo endovascular repair for mesenteric ischemia should be recommended the following: | ||
** Lifelong aspirin therapy | ** Lifelong aspirin therapy | ||
** Clopidogrel for 1-3 months after the procedure | ** Clopidogrel for 1-3 months after the procedure | ||
** Lifelong oral anticoagulants in case of persistent atrial fibrillation, mesenetric venous thrombosis and inherited or acquired thrombophilias. | ** Lifelong oral anticoagulants in case of persistent atrial fibrillation, mesenetric venous thrombosis and inherited or acquired thrombophilias. | ||
** Nutritional status and body weight should be monitored | |||
==References== | ==References== | ||
Revision as of 15:00, 18 December 2017
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Overview
Effective measures to prevent recurrence of mesenteric ischemia include screening by duplex ultrasonography, nutritional and life style modification, and drug therapy.
Secondary Prevention
The secondary prevention of mesenteric ischemia is similar to its primary prevention.
Effective measures for the secondary prevention of mesenteric ischemia includes the following:
- In patients with history of mesenteric ischemia, duplex ultrasonography is recommended after every 6 months for one year, and yearly thereafter.
- All patients at risk of developing mesenteric ischemia, should be educated about the signs and symptoms of the disease.
- Patients who undergo endovascular repair for mesenteric ischemia should be recommended the following:
- Lifelong aspirin therapy
- Clopidogrel for 1-3 months after the procedure
- Lifelong oral anticoagulants in case of persistent atrial fibrillation, mesenetric venous thrombosis and inherited or acquired thrombophilias.
- Nutritional status and body weight should be monitored