Nutritional follow-up if bowel resection was performed
Dietitian consultation for short bowel syndrome
Monitor for vitamin B12, fat-soluble vitamin deficiencies
References
Guidelines and key sources
Primary guidelines
WSES Acute Mesenteric Ischemia: Updated Guidelines 2022 — Bala M, Catena F, Kashuk J et al. World Journal of Emergency Surgery
WSES Grade 1C recommendation for CTA without delay
Revascularization-first surgical strategy
ACC/AHA 2005 Guidelines for Management of Peripheral Arterial Disease — Hirsch AT et al. Journal of the American College of Cardiology 2006
Includes mesenteric and renal arterial disease management
Society for Vascular Surgery: Chronic Mesenteric Ischemia Clinical Practice Guidelines — Huber TS, Bjorck M, Chandra A et al. Journal of Vascular Surgery 2021
ACR Appropriateness Criteria: Radiologic Management of Mesenteric Ischemia 2022 Update — Expert Panel on Interventional Radiology. Journal of the American College of Radiology 2022
Key clinical references
Landmark reviews and studies
Clair DG, Beach JM. Mesenteric Ischemia. New England Journal of Medicine 2016
Comprehensive review of all subtypes and management
Theodore S, Xia T, Saillant N. Evaluation and Management of Intestinal Ischemia. NEJM Evidence 2024
Contemporary management update with endovascular emphasis
Reintam Blaser A, Mändul M, Bjorck M et al. AMESI Study. Critical Care 2024
Prospective multicenter observational study on AMI incidence and outcomes
Molyneux K, Beck-Esmay J, Koyfman A, Long B. High Risk and Low Prevalence Diseases: Mesenteric Ischemia. American Journal of Emergency Medicine 2023
Emergency medicine focused review
Reintam Blaser A, Koitmae M, Laisaar KT et al. Radiological Diagnosis of AMI Systematic Review and Meta-Analysis. Scientific Reports 2025
CTA sensitivity 92%, specificity 98.8% for AMI
Coding standards
ICD-10 classification
K55.059 — acute mesenteric ischemia without gangrene, unspecified
K55.019 — acute infarction of small intestine, unspecified
K55.1 — chronic vascular disorder resulting in ischemia of intestine
K55.039 — acute colonic ischemia without gangrene, unspecified
I74.09 — embolism and thrombosis of other arteries (mesenteric)
SNOMED CT: Acute mesenteric ischemia — 84114007
Mesenteric venous thrombosis — 19307009
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