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Ischemic bowel disease.

R D Bapat1, P M Aiyer, R G Relekar

  • 1Department of Surgery, K E M Hospital, Bombay.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|January 1, 1990
PubMed
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Ischemic bowel disease, often diagnosed during surgery, commonly stems from superior mesenteric artery blockages. Early consideration is vital for acute abdomen and chronic abdominal pain patients.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Abdominal Imaging

Background:

  • Ischemic bowel disease (IBD) presents diagnostic challenges, often necessitating surgical intervention.
  • Acute and chronic IBD forms require distinct management considerations.
  • Timely diagnosis is crucial for improving patient outcomes in IBD.

Purpose of the Study:

  • To review the clinical presentation, diagnosis, and management of ischemic bowel disease.
  • To identify the common causes and outcomes of ischemic bowel disease in a series of patients.
  • To emphasize the importance of considering IBD in patients with acute or chronic abdominal symptoms.

Main Methods:

  • Retrospective analysis of 25 patients diagnosed with ischemic bowel disease over four years.

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  • Diagnosis confirmation through intraoperative findings and histopathology.
  • Treatment involved bowel resection and anastomosis; vascular procedures were not performed.

    • Main Results:

    • Twenty cases presented with acute symptoms, five with chronic symptoms.
    • Occlusive superior mesenteric artery disease was the most frequent cause of acute ischemia.
    • Eight acute cases resulted in mortality; three had complications. One chronic case died.

    Conclusions:

    • Ischemic bowel disease should be a key consideration in patients presenting with acute abdomen.
    • IBD diagnosis is frequently established during surgical exploration and confirmed by histopathology.
    • Management focused on resection and anastomosis, with significant mortality in acute cases.