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Intestinal angina. Report on two operated cases
Scandinavian Journal of Thoracic and Cardiovascular Surgery
|January 1, 1977
Summary
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.
- 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.