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#ChronicMesentericIschemia #CMI #VascularHealth #BellyPain #WeightLoss #Diagnosis #TreatmentOptions #EndovascularSurgery #OpenSurgery #PatientEducation Chronic Mesenteric Ischemia (CMI) means your intestines aren't getting enough blood, often due to narrowed arteries, especially after eating. Key symptoms include: Belly pain after meals. "Food fear" (avoiding eating due to pain). Significant weight loss. Diagnosis requires an "extradiolated workup" to quickly rule out other gut problems. An abdominal CT scan provides a detailed view of blood vessels. CMI is diagnosed when classic symptoms are combined with imaging showing over 70% narrowing in key arteries, like the superior mesenteric artery (SMA). Treatment is urgent to relieve pain, help regain weight, restore quality of life, and prevent bowel damage; IV nutrition isn't a fix. Untreated CMI has a very high 5-year mortality rate. Treatment options involve shared decision-making: *Endovascular Revascularization:* Less invasive (balloon and stent), shorter hospital stay, quicker recovery. Often the first recommendation, though it may need redoing later. *Open Surgical Revascularization:* More traditional surgery for complex blockages or endovascular failures, offering a more durable solution. Recurrence is possible. Patients should watch for symptoms and have regular follow-ups with ultrasound scans. If symptoms return, an endovascular approach is usually considered first again.