St George & Shire Vascular Services
St George & Shire Vascular Services

Mesenteric Vascular Disease

Expert treatment for intestinal blood vessel blockages and abdominal vascular conditions

Vascular Surgery

Intestinal Blood Flow

Mesenteric vascular disease affects blood vessels supplying the stomach, liver, and intestines. Early diagnosis and treatment can prevent serious complications.

Dr Lubomyr Lemech

DR LUBOMYR LEMECH

MBBS (Hons), FRACS (Vascular), DDU (Vascular)

Treatment Options:

  • Mesenteric bypass surgery
  • Angioplasty and stenting
  • Emergency acute care

Understanding Mesenteric Vascular Disease

The mesenteric vessels are the blood vessels that supply the stomach, liver and the small and large intestine. There are usually three mesenteric vessels – the celiac trunk, the superior mesenteric artery and the inferior mesenteric artery.

Severe narrowing of these blood vessels can result in symptoms, due to lack of blood supply. The narrowing is usually due to a disease process called atherosclerosis, which causes plaques of cholesterol to form in the walls of arteries.

Mesenteric Vascular Anatomy

Mesenteric Vascular System

Risk Factors

Risk factors for atherosclerosis that can lead to mesenteric vascular disease

Smoking

Smoking accelerates atherosclerosis in all arteries

Age

Risk increases with advancing age

High Blood Pressure

Hypertension damages arterial walls

High Cholesterol

Elevated cholesterol forms arterial plaques

Diabetes

Diabetes accelerates atherosclerosis

Symptoms

People with mesenteric vascular disease can have the following symptoms

Abdominal Pain

Chronic Symptoms

Severe abdominal pain on eating

Often leads to fear of eating

Weight loss

Due to reduced food intake

Digestive symptoms

Diarrhea, nausea, vomiting, constipation

Emergency Care

Acute Emergency

MEDICAL EMERGENCY

Sudden severe abdominal pain requiring immediate medical attention

Clot forming in mesenteric vessels
Clot traveling from heart to intestinal arteries

Investigations

People with mesenteric vascular disease may need investigation with a number of tests including

Blood Tests

Blood Tests

Laboratory assessment of overall health and risk factors

Ultrasound

Ultrasounds

Non-invasive imaging of mesenteric blood flow

CT Scan

CT Scans

Detailed cross-sectional imaging of abdominal vessels

Catheter Angiogram

Catheter Angiograms

Gold standard imaging for detailed vessel assessment

Treatment Options

Individualized Treatment Planning

Your surgeon will advise you what treatment is best for your condition. People with acute mesenteric vascular disease usually need an urgent operation to correct the problem.

Mesenteric Surgery

Advanced Mesenteric Care

Multiple treatment options for optimal outcomes

Angioplasty and Stenting

Angioplasty & Stenting

Sometimes the narrowing can be treated with balloons (angioplasty) and stents.

Minimally invasive approach
Balloon dilation of narrowed vessels
Stent placement for long-term patency
Bypass Surgery

Bypass Surgery

Sometimes the narrowing needs an operation to bypass the narrowing. The bypass operation can be performed with vein or with a plastic tube, depending on the circumstances.

Vein Grafts:

Using patient's own vein
Excellent biocompatibility

Synthetic Grafts:

Plastic tube bypass
Selected based on circumstances

Emergency Treatment

People with acute mesenteric vascular disease usually need an urgent operation to correct the problem and restore blood flow to prevent irreversible intestinal damage.

Expert Mesenteric Vascular Care

Dr Lemech provides comprehensive mesenteric vascular disease evaluation and treatment from minimally invasive procedures to complex bypass surgery. Specialized care for both chronic conditions and emergency situations.

St George & Shire Vascular Services