Diagnosis and management of fibromuscular dysplasia and segmental arterial mediolysis in gastroenterology field: A mini-review

World Journal of Gastroenterology : WJG
Masayoshi KoShuji Terai

Abstract

The vascular diseases including aneurysm, occlusion, and thromboses in the mesenteric lesions could cause severe symptoms and appropriate diagnosis and treatment are essential for managing patients. With the development and improvement of imaging modalities, diagnostic frequency of these vascular diseases in abdominal lesions is increasing even with the small changes in the vasculatures. Among various vascular diseases, fibromuscular dysplasia (FMD) and segmental arterial mediolysis (SAM) are noninflammatory, nonatherosclerotic arterial diseases which need to be diagnosed urgently because these diseases could affect various organs and be lethal if the appropriate management is not provided. However, because FMD and SAM are rare, the cause, prevalence, clinical characteristics including the symptoms, findings in the imaging studies, pathological findings, management, and prognoses have not been systematically summarized. Therefore, there have been neither standard diagnostic criteria nor therapeutic methodologies established, to date. To systematically summarize the information and to compare these disease entities, we have summarized the characteristics of FMD and SAM in the gastroenterological regions by reviewing the cases re...Continue Reading

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Citations

Nov 10, 2020·Rheumatology·Ernest Maningding, Tanaz A Kermani
Aug 29, 2019·Radiology. Cardiothoracic Imaging·Michael A WinklerMary Sheppard
Apr 30, 2021·International Journal of Nephrology and Renovascular Disease·John-Paul O'SheaJ Matthew Meadows

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Methods Mentioned

BETA
dissection
SMA
percutaneous transluminal angioplasty
dissections

Software Mentioned

SAM
Ovid

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