Chronic mesenteric ischaemia is a severe and incapacitating disease, causing complaints of post-prandial pain, fear of eating and weight loss. Even though chronic mesenteric ischaemia may progress to acute mesenteric ischaemia, chronic mesenteric ischaemia remains an underappreciated and undertreated disease entity. Probable explanations are the lack of knowledge and awareness among physicians and the lack of a gold standard diagnostic test. The underappreciation of this disease results in diagnostic delays, underdiagnosis and undertreating of patients with chronic mesenteric ischaemia, potentially resulting in fatal acute mesenteric ischaemia. This guideline provides a comprehensive overview and repository of the current evidence and multidisciplinary expert agreement on pertinent issues regarding diagnosis and treatment, and provides guidance in the multidisciplinary field of chronic mesenteric ischaemia.

Department of Cardio Thoracic and Vascular Surgery Skane University Hospital Malmö Sweden

Department of Clinical Physiology Viborg Regional Hospital Viborg Denmark

Department of Clinical Sciences Malmö Lund University Lund Sweden

Department of Diagnostic and Interventional Radiology Montpied University Hospital Clermont Ferrand France

Department of Gastroenterology and Hepatology Erasmus MC University Medical Center Rotterdam the Netherlands

Department of Gastroenterology and Hepatology Franciscus Gasthuis and Vlietland Rotterdam the Netherlands

Department of Gastroenterology and Hepatology Medisch Spectrum Twente Enschede the Netherlands

Department of Gastroenterology and Hepatology University Medical Center Groningen Groningen the Netherlands

Department of Gastroenterology Hopital Beaujon APHP Clichy France

Department of Gastroenterology Intestinal Stroke Center Hopital Beaujon APHP Clichy France

Department of Interventional Radiology Newcastle upon Tyne Hospitals NHS Foundation Trust UK

Department of Medical Surgical and Neuro Sciences Diagnostic Imaging University of Siena Azienda Ospedaliera Universitaria Senese Siena Italy

Department of Radiology Erasmus MC University Medical Center Rotterdam the Netherlands

Department of Radiology University Hospital Hradec Kralove Hradec Kralove Czech Republic

Department of Radiology University of Copenhagen Copenhagen Denmark

Department of Surgical Oncological and Oral Sciences University of Palermo Vascular Surgery Unit AOUP 'P Giaccone' Palermo Palermo Italy

Department of Surgical Sciences University of Rome La Sapienza Rome Italy

Department of Vascular and Endovascular Surgery Marienhospital Gelsenkirchen Gelsenkirchen Germany

Department of Vascular Surgery Erasmus MC University Medical Center Rotterdam the Netherlands

Department of Vascular Surgery Mayo Clinic Rochester MN USA

Department of Vascular Surgery Medisch Spectrum Twente Enschede the Netherlands

Department of Vascular Surgery Sint Antonius hospital Nieuwegein the Netherlands

Department of Vascular Surgery University Hospital Leipzig Leipzig Germany

Division of Angiology Swiss Cardiovascular Center Inselspital Bern University Hospital University of Bern Bern Switzerland

Heart Center Kuopio University Hospital Kuopio Finland

Multi modality Medical Imaging group Faculty of Science and Technology Technical Medical Centre University of Twente Enschede the Netherlands

Radiology and Nuclear Medicine University of Basel Basel Switzerland

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