ArticleThe British journal of radiology2018
Non-occlusive mesenteric ischaemia: CT findings, clinical outcomes and assessment of the diameter of the superior mesenteric artery.
Article in The British journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.
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Who cites it
48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Radiological diagnosis of acute mesenteric ischemia in adult patients: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Radiological predictive factors of transmural intestinal necrosis in acute mesenteric ischemia: systematic review and meta-analysis.European radiology · 2023Pooled it
- Non-occlusive mesenteric ischemia secondary to diabetic ketoacidosis in a patient receiving olanzapine: A case report.Radiology case reports · 2026Article
- Acute abdominal pain in oncology patients: diagnostic challenges and imaging insights.La Radiologia medica · 2026Review
- Venous congestive ischemic colitis following left hemicolectomy: A rare case of superior rectal vein occlusion.Radiology case reports · 2026Article
- Current Evidence on the Management of Non-occlusive Mesenteric Ischemia: A Comprehensive Narrative Review.Cureus · 2026Review
- Nonocclusive mesenteric ischemia secondary to organophosphorus poisoning: A case report.Radiology case reports · 2026Article
- The Importance of Predicting Bowel Necrosis in Acute Mesenteric Ischemia: Narrative Review.Diagnostics (Basel, Switzerland) · 2026Review
- Non-occlusive mesenteric ischemia complicated by ischemic hepatitis presenting as severe lactic acidosis: a case report.Frontiers in medicine · 2026Article
- Evaluation of Atherosclerotic Changes in the Superior Mesenteric Artery Using MDCT.Radiology research and practice · 2026Article
- Review
- Changes in Abdominal Artery Diameter in Patients Treated for Acute Aortic Dissection.Journal of cardiovascular development and disease · 2025Article
- Longitudinal analysis of serum intestinal fatty acid-binding protein in a patient with non-occlusive mesenteric ischemia following brachial plexus block-induced hypotension: a case study.Clinical journal of gastroenterology · 2025Article
- Computed Tomography Imaging of Acute Mesenteric Ischemia for Interventional Radiology.Interventional radiology (Higashimatsuyama-shi (Japan) · 2025Review
- Nonocclusive Mesenteric Ischemia: A Review for Interventional Radiologists.Interventional radiology (Higashimatsuyama-shi (Japan) · 2025Review
- Computed Tomography Parameters for Prognosis Prediction in Non-Occlusive Mesenteric Ischemia.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Preoperative risk factors for 90-day postoperative mortality outcome in patients with non-occlusive mesenteric ischemia.Langenbeck's archives of surgery · 2024Article
- Intestinal Fatty Acid Binding Protein as a Predictor of Early Mesenteric Injury Preceding Clinical Presentation: A Case Report.EJVES vascular forum · 2024Article
- The global burden of vascular intestinal diseases: results from the 2021 Global Burden of Disease Study and projections using Bayesian age-period-cohort analysis.Environmental health and preventive medicine · 2024Article
- Insights into acute mesenteric ischaemia: an up-to-date, evidence-based review from a mesenteric stroke centre unit.The British journal of radiology · 2023Review
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveReview of the experience of a tertiary care centre for almost 10 years in the CT diagnosis of non-occlusive mesenteric ischaemia (NOMI). Analysis of CT findings, correlation with clinical outcomes and evaluation of the usefulness of measuring the superior mesenteric artery (SMA) diameter for the diagnosis of NOMI.
methods106 patients were diagnosed with NOMI in a biphasic CT examination from 2008 to 2017 in our hospital. Clinical outcomes and CT findings were reviewed. In 55 patients, the diameter of the SMA was compared with a previous CT scan where NOMI was not the diagnosis, and statistical analysis using paired t-test was performed.
results81 patients (76%) had findings consistent with small bowel ischaemia and the ileum was the segment most commonly involved (47%). Lack of wall enhancement, pneumoperitoneum, pneumatosis intestinalis and portal venous gas were all considered signs of bowel necrosis and surgery was performed promptly. 70 patients had signs of vascular narrowing of the SMA branches and in the 55 cases with a previous CT scan, there were statistically significant differences regarding the SMA diameter with a mean reduction of the artery calibre and standard deviation of 1.93 ± 1.1 mm between the NOMI and non-NOMI scans (p < 0.001).
conclusionAcknowledgment of characteristic bowel necrosis CT findings is crucial for determining the therapeutic attitude and the use of previous CT scans to compare the SMA diameter may help the radiologist to achieve an early diagnosis of NOMI in an often critically ill patient population. Advances in knowledge: Diagnosis of NOMI can be difficult in cases of partial mural ischaemia, thus objective data (diameter of the SMA) should be useful for the radiologist to include NOMI as the first diagnostic option in the differential diagnosis.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.