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[Ischemic bowel disease (author's transl)].

K Ewe, E U Baas

    Aktuelle Gerontologie
    |March 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Ischemic bowel disease primarily affects geriatric patients, often due to mesenteric artery occlusion, leading to high mortality. Surgical reconstruction of mesenteric circulation offers a therapeutic option for severe cases.

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    Area of Science:

    • Gastroenterology
    • Vascular Surgery
    • Geriatric Medicine

    Background:

    • Ischemic bowel disease disproportionately affects geriatric patients.
    • Sudden occlusion of mesenteric arteries (superior and inferior) can lead to intestinal gangrene and peritonitis with high mortality (>90%).

    Observation:

    • Chronic intestinal ischemia presents with postprandial pain (intestinal claudication).
    • Acute mesenteric artery occlusion may occur without embolus or thrombus, often due to critical circulatory compromise in arteriosclerotic vessels.
    • Mucosal ischemia, particularly in the colon (ischemic colitis), is common and usually regenerates.

    Findings:

    • Mesenteric artery occlusion is a critical cause of bowel ischemia in the elderly.
    • Circulatory compromise in arteriosclerotic vessels can precipitate acute ischemia.

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  • Ischemic colitis is a frequent manifestation of less severe ischemia.

    • Implications:

    • Early recognition and intervention are crucial for improving outcomes in ischemic bowel disease.
    • Surgical reconstructive procedures for mesenteric circulation are vital for managing acute and chronic intestinal ischemia.
    • Understanding the pathophysiology of mesenteric ischemia is key to developing targeted therapies for geriatric patients.