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[Surgical treatment of chronic mesenteric ischemia]
Insights
Chronic abdominal pain and weight loss in a 44-year-old woman were successfully treated with bypass grafts for celiac and superior mesenteric artery stenosis. Surgical intervention led to significant symptom relief and weight restoration.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Interventional Radiology
Background:
- Chronic abdominal pain and unexplained weight loss can indicate serious underlying vascular compromise.
- High-grade stenosis of visceral arteries, such as the celiac artery (CA) and superior mesenteric artery (SMA), can lead to chronic mesenteric ischemia.
Observation:
- A 44-year-old female patient presented with a year-long history of chronic abdominal pain and significant weight loss.
- Diagnostic angiography identified severe stenosis at the origins of both the celiac and superior mesenteric arteries.
Findings:
- Surgical intervention involved the implantation of Goretex bypass grafts from the infrarenal aorta to the affected CA and SMA.
- Post-operative follow-up at one year demonstrated complete resolution of symptoms and substantial weight regain.
Implications:
- Revascularization surgery for visceral artery stenosis can be a highly effective treatment for chronic mesenteric ischemia.
- Successful bypass grafting restores blood flow, alleviating symptoms and improving nutritional status in affected patients.
Abstract:
A 44-year-old woman with chronic abdominal pain and weight loss is presented. 1 year after onset of symptoms and following multiple diagnostic procedures, angiography revealed high grade stenosis of the celiac and superior mesenteric arteries at their origins. Bypass grafts of Goretex were implanted from the infrarenal aorta to both arteries beyond the narrowed segments. 1 year after surgery the patient has regained her weight and is feeling well.