[Physiopathology of celiac-mesenteric insufficiency]

The discrepancy between the high incidence of coeliac-mesenteric impairment at necropsy and its low frequency diagnosis intra vitam is stressed and brief mention made of the anastomotic ways which link the coeliac and mesenteric systems. These are useful not only for understanding certain pathological situations in which anatomic damage is not followed by clear-cut clinical phenomenology but also for explain in the ischaemic forms favoured by congenital alteration in such anastomotic systems. After analysing experimental contributions in the literature, the physiopathological aspects of the various forms of acute and chronic coeliac-mesenteric insufficiency are discussed.