Chronic intestinal ischemia: Diagnosis and therapy

摘要: Abstract Splanchnic arteriosclerosis is common among the elderly population, but intestinal angina distinctly a rare entity. Extensive and efficient mesenteric collateral pathways make development of unlikely unless at least two major vessels exhibit hemodynamically important stenoses. Herein we describe surgical management 17 patients with chronic ischemia. The most commonly had postprandial pain lost significant weight; angiography, including lateral aortography, confirmed diagnosis. An average 2.5 in these were arteriosclerotically involved. These underwent 20 splanchnic artery reconstructions altogether (average, 1.2 per patients) for relief symptomatic Arterial (16 bypass procedures 4 endarterectomies) undertaken either autogenous saphenous vein (10 vessels) or Dacron prosthetics (6 vessels). Revascularizations involved superior (six patients), hepatic (three splenic (seven inferior (four patients). Five deaths occurred after operation, early three late, all from myocardial infarctions. All who survived have been relieved their pain, there has no recurrence. length follow-up 60.9 months repeat angiography six intervals up to 5 years shown evidence revascularization occlusion. (J VASC SURG 1986;4:338-44.)