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[Reconstructive procedures in chronic occlusive processes of the intestinal arteries]
Insights
Surgical revascularization effectively treats blockages in the celiac axis and mesenteric artery. Procedures like bypass grafting and end-arterectomy offer low operative mortality, with few patients experiencing recurrent symptoms.
Area of Science:
- Vascular Surgery
- Gastrointestinal Surgery
- Surgical Outcomes
Abstract:
Three approaches are considered: the left thoracoabdominal approach, the right-sided retro- or supracolic route and the transabdominal access. Aorto-common hepatic venous bypass grafting is the preferred procedure in singular occlusions of the celiac axis. Reimplantation and aorto-mesenteric venous bypass are the treatments of choice in singular occlusions of the mesenteric artery. Occlusions of both upper intestinal arteries can be treated with a venous bridge bypass graft or by transaortic end-arterectomy. Operative mortality is low (0.9%). Remaining occlusion and recurrent symptoms occurred in 12 of 92 patients.