Chronic mesenteric ischemia and therapeutic paradigm of mesenteric revascularization

被引：6

作者：

Parameshwarappa S.K. ^{[1
]}

Savlania A. ^{[1
]}

Viswanathan S. ^{[1
]}

Gadhinglajkar S. ^{[2
]}

Raman K.T. ^{[3
]}

Unnikrishnan M. ^{[1
]}

机构：

[1] Division of Vascular Surgery, Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, 695 011, Medical College PO

[2] Department of Cardiac Anaesthesia, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, 695 011, Medical College PO

[3] Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, 695 011, Medical College PO

来源：

Indian Journal of Gastroenterology | 2014年 / 33卷 / 2期

关键词：

Gastrointestinal tract; Superior mesenteric artery; Vascular disease;

D O I：

10.1007/s12664-013-0377-3

中图分类号：

学科分类号：

摘要：

Chronic mesenteric ischemia is a life-threatening clinical problem resulting in death from inanition and/or bowel infarction, if left untreated, albeit low disease prevalence. Typical presentation is postprandial abdominal pain, severe weight loss, and altered bowel habit. Surgical revascularization of the superior mesenteric artery provides effective long-term treatment for chronic intestinal ischemia. Eleven patients underwent superior mesenteric artery revascularization, nine of them with open retrograde superior mesenteric artery bypass and two with angioplasty and stenting. All patients except one made a satisfactory recovery in this cohort. Major complication included one graft thrombosis leading to bowel ischemia and death. The rest all recovered weight in 3-6 months with a follow up period of 6 to 28 months. Two patients had recurrence of symptoms due to failing bypass requiring stenting for assisted primary patency. Superior mesenteric artery revascularization can be performed with minimal morbidity and mortality, providing excellent symptom relief and quality of life. © 2013 Indian Society of Gastroenterology.

引用

页码：169 / 174

页数：5

共 17 条

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