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Published on: July 11, 2019
Gastric ischemia due to critical stenosis of the celiac trunk
C Saldaña Dueñas1, A Elosua González, A Guerra Lacunza
1Complejo Hospitalario de Navarra. crisaldu@hotmail.com.
Insights
Gastric ischemia, a condition of reduced stomach blood flow, can be effectively treated with endovascular therapy. This minimally invasive approach offers a viable alternative to surgery for patients with critical celiac artery stenosis.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Interventional Radiology
Background:
- Gastric ischemia (GI) arises from insufficient blood flow to the stomach due to various causes like hypotension, vasculitis, or arterial stenosis.
- The celiac artery, a major vessel branching from the aorta, supplies blood to the stomach, spleen, and liver.
Observation:
- A case of gastric ischemia caused by critical celiac artery stenosis is presented.
- The patient underwent successful endovascular therapy, specifically stent placement, for the condition.
Findings:
- Endovascular therapy, including stent placement, is a safe and effective treatment for gastric ischemia resulting from celiac artery stenosis.
- This approach provides a valuable alternative to traditional surgery, particularly for patients with significant comorbidities.
Implications:
- Increased clinical awareness of gastric ischemia due to celiac stenosis is crucial for timely diagnosis and management.
- Gastroenterologists and interventional radiologists can utilize endovascular techniques to improve patient outcomes in complex vascular cases.
Abstract:
Gastric ischemia (GI) results from diffuse or localized vascular insufficiency caused by different aetiologies such as systemic hypotension, vasculitis, disseminated thromboembolism and celiac or mesenteric stenosis. We present a case of gastric ischemia due to critical stenosis of the celiac artery treated using endovascular therapy. The celiac artery is the first major branch of the abdominal aorta and provides some of the blood supply to the stomach through the left gastric artery and other organs like the spleen (splenic artery branch) and the liver. Although the collateral blood supply to the stomach is protective, systemic hypotension or occlusion of the main arteries, as in the case of our patient, may result in gastric ischemia. The stent placement is an alternative to surgery in patients with high comorbidity and with good outcomes. The clinical awareness of this syndrome will allow gastroenterologists and radiologists to appropriately diagnose and manage affected patients.
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