PMID: 3761475Oct 1, 1986Paper

Chronic intestinal ischemia: diagnosis and therapy

Journal of Vascular Surgery
P E StantonP A Lamis

Abstract

Splanchnic arteriosclerosis is common among the elderly population, but intestinal angina is distinctly a rare entity. Extensive and efficient mesenteric collateral pathways make development of intestinal angina unlikely unless at least two major vessels exhibit hemodynamically important stenoses. Herein we describe the surgical management of 17 patients with chronic intestinal ischemia. The patients most commonly had postprandial pain and lost significant weight; angiography, including lateral aortography, confirmed the diagnosis. An average of 2.5 vessels in these 17 patients were arteriosclerotically involved. These 17 patients underwent 20 major splanchnic artery reconstructions altogether (average, 1.2 vessels per patient) for relief of symptomatic intestinal ischemia. Arterial reconstructions (16 bypass procedures and 4 endarterectomies) were undertaken with either autogenous saphenous vein (10 vessels) or Dacron prosthetics (6 vessels). Revascularizations involved the superior mesenteric artery (six patients), hepatic artery (three patients), splenic artery (seven patients), and inferior mesenteric artery (four patients). Five deaths occurred after operation, two early and three late, all from myocardial infarctions. All...Continue Reading

Citations

Oct 24, 2012·Annals of Vascular Surgery·Felice PecoraroFrank J Veith
Oct 2, 2009·The American Journal of the Medical Sciences·Marco BiolatoAntonio Grieco
Jun 23, 2009·Annals of Vascular Surgery·Timothy M SullivanJoseph J Ricotta
Dec 2, 2006·Gastrointestinal Endoscopy·Shai FriedlandRoy Soetikno
Aug 1, 1993·American Journal of Surgery·S C Babu, P M Shah
Apr 30, 1998·Academic Radiology·D B Stafford JohnsonT L Chenevert
Mar 1, 1990·Annals of Vascular Surgery·J W HallettK J Cherry
Jun 4, 2002·Journal of Vascular Surgery·Jesus G JimenezJavier G Jimenez
Mar 24, 1998·Journal of Vascular Surgery·D B SchneiderR J Stoney
May 1, 1995·Journal of Vascular Surgery·W D McMillanJ S Yao
May 18, 2001·Best Practice & Research. Clinical Gastroenterology·J H van BockelM N Wasser
Sep 11, 1992·American Journal of Surgery·M K McAfeeT C Bower
Jan 20, 2011·Annals of Saudi Medicine·Shi-Min Yuan, Hua Jing
Nov 20, 2002·European Journal of Gastroenterology & Hepatology·Søren Møller, Jan Lysgård Madsen

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