Mesenteric ischemia historical perspective

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]

In 1843, Tiedemann described mesenteric occlusion and bowel infarction, followed by Virchow who added two more patients to the literature. In 1921, Klein wrote a thesis on embolism and thrombosis, in which he pointed out a relationship between SMA stenosis and episodic abdominal pain. In 1936, Dunphy was the first one to establish an association between mesenteric artery occlusion and bowel infarction. In 1971, the first book written on all aspects of mesenteric ischemia named 'Vascular Disorders of the Intestines' was published and edited by Boley, Schwartz, and Williams.

• In 1843, Tiedemann described mesenteric occlusion and bowel infarction, followed by Virchow who added two more patients to the literature.
• In 1887, Welch proposed that ischemic bowel changes occur secondary to 80% stenosis of superior mesenteric artery (SMA).
• In 1904, Jackson, Parker, and Quinby stated that both arterial and venous occlusion of the mesenteric circulation can lead to mesenteric ischemia.
• In 1913, Trotter studied 359 cases of infarcted bowel. He explained a relationship between cardiac diseases and embolus to the SMA. He also elaborated a connection between arteriosclerosis of the aorta and thrombosis of mesenteric vessles.
• In 1921, Klein wrote a thesis on embolism and thrombosis, in which he pointed out a relationship between SMA stenosis and episodic abdominal pain.
• In 1936, Dunphy was the first one to establish an association between mesenteric artery occlusion and bowel infarction.^[1][2]
• In 1971, the first book written on all aspects of mesenteric ischemia named "Vascular Disorders of the Intestines" was published and edited by Boley, Schwartz, and Williams.^[3]

• Until 1967, mesenteric ischemia was a diagnostic dilemma.^{[4][5][5][6][7]}
• Aarhus and Brabrand were the first ones to propose angiography as a diagnostic tool for SMA occlusion.
• In 1967, Britt, Cheek, and Wittenberg included angiography as their management plan in 1967.
• In 1980, endovascular treatment of mesenteric disease was introduced.