Mesenteric Vascular Disease

  • Magruder C. Donaldson


The mesenteric circulation is richly endowed with redundant anatomy in the form of collateral channels that connect the beds served by the celiac, superior mesenteric, and inferior mesenteric arteries. Arcades parallel the bowel wall connecting the distal branches of these arteries. Similar redundancy is present in the venous drainage beds. As a result, occlusion of major trunk vessels may be well tolerated, provided the occlusive process is sufficiently gradual to allow compensatory collateral enlargement and the major collaterals are themselves uninvolved. Even without intrinsic mesenteric disease, blood flow is influenced dramatically by physiologic vasoreactivity. This phenomenon comes into play in the face of various severe systemic illnesses associated with hypovolemia and circulatory collapse, and contributes prominently to the pathophysiology of nonocclusive mesenteric ischemia and mesenteric venous occlusion.


Mesenteric Artery Superior Mesenteric Artery Inferior Mesenteric Artery Celiac Artery Chronic Mesenteric Ischemia 
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© Springer Science+Business Media New York 2003

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  • Magruder C. Donaldson

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