Signs and Symptoms: This chronic disease includes abdominal pain after eating, unintentional weight loss, vomiting, and being afraid of eating. Diagnosis: It is difficult to diagnose mesenteric ischemia early. One must also differentiate ischemic colitis, which often resolves on its own, from the more immediately life-threatening condition of acute mesenteric ischemia of the small bowel. It can be diagnosed by blood tests, endoscopy, Plain X-ray test, Computed Tomography etc.
Treatment: NG tube decompression, angiogram for diagnosis and treatment, heparin anticoagulation. Palavering to decrease arterial vasospasm. “Surgical revascularisation remains the treatment of choice for mesenteric ischemia, but thrombolytic medical treatment and vascular interventional radiological techniques have a growing role".
Early diagnosis and early treatment are very important in NOMI, but the early symptoms and characteristics are unclear; and in many cases, the disease has advanced to an irreversible stage before a definite diagnosis is made. Our experience with diagnosis and treatment of NOMI has led us to establish new diagnostic criteria, and we now perform abdominal contrast multidetector row computed tomography (MDCT) for suspected NOMI.