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Intestinal angina. Report on two operated cases

K Solheim, A Rosseland, B L Lund

    Scandinavian Journal of Thoracic and Cardiovascular Surgery
    |January 1, 1977
    PubMed
    Summary
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    Intestinal angina, though recognized for decades, remains underdiagnosed. This study recommends an aggressive surgical approach for revascularizing the celiac and mesenteric arteries to treat this condition effectively.

    Area of Science:

    • Vascular Surgery
    • Gastroenterology
    • Abdominal Imaging

    Background:

    • Intestinal angina, a condition of chronic mesenteric ischemia, has been recognized for over 70 years.
    • Despite its long history, the diagnosis and treatment of intestinal angina remain controversial.
    • Fewer than 400 cases of elective revascularization for celiac/mesenteric arteries are documented in medical literature.

    Observation:

    • Presents two distinct cases of patients diagnosed with intestinal angina.
    • Both patients underwent successful elective revascularization of the affected mesenteric arteries.
    • The clinical course and outcomes of these cases were meticulously documented.

    Findings:

    • The study reviews existing literature on intestinal angina and its surgical management.

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  • Highlights the effectiveness of surgical revascularization in resolving symptoms.
  • Emphasizes the importance of recognizing and addressing chronic mesenteric ischemia.

    • Implications:

    • Advocates for a more proactive and aggressive surgical strategy for diagnosing and treating intestinal angina.
    • Recommends prompt and adequate arterial reconstruction to restore blood flow.
    • Suggests that increased awareness and surgical intervention can improve patient outcomes for chronic mesenteric ischemia.