Approach to the management of sclerosing mesenteritis in adults

* Non-obstructive symptoms include abdominal pain, systemic symptoms including fever, weight loss, and altered bowel habits.
¶ Patients with bowel obstruction are managed conservatively when feasible. Surgical bypass is indicated to alleviate symptoms in those whose symptoms are dominated by focal intestinal obstruction. Refer to UpToDate topic reviews.
Δ Treatment with azathioprine is an alternative approach.
◊ Treatment with pentoxyfylline is an alternative approach.
§ Treatment with colchicine is controversial. Refer to UpToDate topic review on sclerosing mesenteritis.