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Vascular reconstruction in intestinal angina.
The Netherlands Journal of Surgery
|December 1, 1984
Summary
Chronic intestinal ischemia, though rare, presents with classic symptoms like postprandial pain and weight loss. Vascular reconstruction is recommended for intestinal angina to prevent infarction, but not for asymptomatic cases.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Internal Medicine
Background:
- Chronic intestinal ischemia is uncommon due to extensive collateral circulation.
- Diagnosis is frequently delayed due to nonspecific symptoms.
Purpose of the Study:
- To review the diagnosis and management of chronic intestinal ischemia.
- To highlight novel endoscopic findings in ischemic mucosa.
- To evaluate surgical outcomes in patients with intestinal angina.
Main Methods:
- Review of ten patient cases.
- Literature review on chronic intestinal ischemia.
- Endoscopic examination and vascular reconstruction.
Main Results:
- The classical triad (postprandial pain, weight loss, epigastric bruit) was present in most patients.
- Unique ischemic mucosal findings were observed during endoscopy.
- Vascular reconstruction led to satisfactory long-term results with considerable postoperative morbidity but no mortality.
Conclusions:
- Vascular reconstruction is indicated for symptomatic intestinal angina to alleviate symptoms and prevent infarction.
- Prophylactic surgery is not recommended for asymptomatic arterial stenosis or occlusion.