Mesenteric Vascular Lesion – (Chronic vs. Acute)

Chronic – Chronic Mesenteric Vascular lesion will progress over time as blood supply decreases

• These patients will present in the Chiropractic Office and can be treated as it is a vascular compromise.

• Chronic Mesenteric Vascular Lesion is a consequence of atherosclerotic disease.

• These individuals will eat and at a fixed time interval after the meal, they start to hurt.

• The blood supply can keep up with normal activity, but when you add a bolus of food and the activity of the Small Intestine increases with peristaltic waves, these individuals exceed the capacity of the vasculature and the muscles are demanded to contract without replacement energy .

• The muscles then become stressed because of the absence of oxygen necessary to do the work.

• The pain from Chronic Mesenteric Vascular Lesion will pass as the food passes.

• Usually as the patient decides they need a doctor, they start to feel better and don’t come in.

• An Arteriogram is the best way to observe the vasculature problems occurring in Chronic Mesenteric Vascular Lesion.

ACUTE MESENTERIC VASCULAR LESION

• AMVL presents with an abrupt vascular compromise.

• This is a patient that we as chiropractors will not treat

• The patient with AMVL will be sent directly to the Emergency Room

• Acute Mesenteric Vascular Lesion is a SURGICAL EMERGENCY!!!

• The bowels will die quickly due to vascular compromise.

• Ususally the scenario that a person with AMVL encounters is that they eat, pain emerges a fixed time after, and they describe the pain as “THE WORST PAIN I EVER FELT!!!!”

• Hopefully these patients live to make it to surgery.

Category: Gastroenterology Notes