Non-occlusive mesenteric ischemia: diagnosis and management        ZHANG Jian. Department of Vascular Surgery, First Affiliated Hospital of China Medical University, Shenyang 110001, China
Abstract    Non-occlusive mesenteric ischemia (NOMI) is a rarely occurred disease and compromises all forms of mesenteric ischemia with patent mesenteric arteries. It generally affects patients over 50 years of age suffering from myocardial infarction, congestive heart failure, aortic insufficiency, renal or hepatic disease and patients following cardiac surgery. Acute abdominal pain may be the only early presenting symptom of mesenteric ischemia. Non-invasive imaging modalities, such as CT, MRI, and ultrasound, are able to evaluate the aorta and the origins of splanchnic arteries. Despite the technical evolution of those methods, selective angiography of mesenteric arteries is still the gold standard in diagnosing peripheral splanchnic vessel disease. In early NOMI, as opposed to occlusive disease, there is no surgical therapy.