Abdominal Angina


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Expiration Date

31 Dec 2023

Last Reviewed

1 Jan 2021

Estimated Time To Finish

60 Minutes

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Activity Description

Abdominal angina is postprandial pain that occurs in mesenteric vascular occlusive disease when blood flow to the colon is unable to meet visceral demands. This is similar to intermittent claudication in peripheral vascular disease or angina pectoris in coronary artery disease. This activity reviews the evaluation and treatment of abdominal angina and the role of the interprofessional team in recognizing and treating this condition.

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Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Describe patient history clues that might lead to consideration of abdominal angina.
  • Review the gold standard test for diagnosing abdominal angina.
  • Explain the interprofessional team's role in decreasing the high morbidity and mortality rates associated with abdominal angina.
  • Describe how careful patient monitoring and good communication among the interprofessional team will improve patient outcomes in those with abdominal angina.

Author(s) / Contributors Disclosure of Conflicts of Interest

Each author, editor, faculty and planning committee member have completed a disclosure form indicating that neither they nor their spouse/partner has a financial interest/arrangement or affiliation that could be perceived as a real or apparent conflict of interest related to the content of this activity.

COMMERCIAL SUPPORT: This activity has received NO commercial support.

Continuing Education Accreditation Information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Quillen College of Medicine, East Tennessee State University, and StatPearls, LLC. The Quillen College of Medicine, East Tennessee State University is accredited by the ACCME to provide continuing medical education for physicians.

Quillen College of Medicine, East Tennessee State University designates this activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity is reported to the following Maintenance of Certification (MOC) boards:
American Board of Internal Medicine
  • Cardiovascular Disease
  • Internal Medicine
  • Gastroenterology
American Board of Pathology
  • Cardiovascular
  • Clinical Pathology
  • GI (incl. Liver, Pancreas, Bilary)
  • Hemostasis & Thrombosis/Coagulation
  • Surgical Pathology
American Board of Pediatrics
  • Adolescent Medicine
  • Hospital Medicine
  • Pediatric Cardiology
  • Pediatric Gastroenterology
American Board of Surgery
  • General Surgery
  • Vascular Surgery

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Equal Opportunity

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  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives, and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation survey. 
  7. Obtain a certificate.

StatPearls and ETSU adhere to ACCME Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and ETSU that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved, and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

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    I really don't know how I am supposed to answer the question regarding the author's expertise

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    It is incomplete discussion and not centered on IR. Should discuss and should have actual images like US, CTA, Angio. Should be focused on revascularization technique if this is to be an IR CME. Discussion should distinguish acute and chronic mesenteric ischemia as well as venous and arterial. See attached. Mesenteric ischemia can be classified into broad groups according to etiology 13: acute mesenteric ischemia (95% cases) arterial occlusive mesenteric ischemia (60-85% cases) embolic acute mesenteric ischemia (EAMI) thrombotic acute mesenteric ischemia (TAMI) non-occlusive mesenteric ischemia (NOMI) (15-30% cases) veno-occlusive mesenteric ischemia / venous acute mesenteric ischemia (VAMI) (5-15% cases) mixed, e.g. strangulating bowel obstruction chronic mesenteric ischemia (5%) Imaging features can vary depending on the time course and etiology and are therefore discussed separately in the articles above. A number of features are however common to most advanced acute cases and result from the bowel wall necrosis and perforation: FINDINGS: pneumatosis intestinalis: gas in intestinal wall pneumatosis portalis: gas in the portal vein or in mesenteric vein can be differentiated by pneumobilia because gas usually reaches the periphery of the liver while pneumobilia is usually about 2 cm short of external liver border, and is more clustered at the hilum pneumoperitoneum: perforation of the bowel submucosal hemorrhage: sensitivity for diagnosis is low (10%) with all true-positive cases having other CT findings present at diagnosis 10 variable amounts of free fluid

    Frank S. on 12/13/2021

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    JM H. on 12/19/2021

    Why is there a requirement for written answers after completing the test questions? pmcneill@mycvl.com Paul McNeill, MD FACS

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