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Painless small bowel ischemia presenting with diarrhea and weight loss
D E Jones1, J Barton, I Cobden
1Department of Medicine, University of Newcastle and North Tyneside General Hospital, North Shields, Newcastle-upon-Tyne, United Kingdom.
The American Journal of Gastroenterology
|May 12, 1998
Abstract:
Chronic ischemia of the small bowel is classically described as presenting with abdominal pain associated with eating (intestinal angina). Here we describe the cases of two patients with chronic small bowel ischemia who presented atypically with painless watery diarrhea and weight loss. These cases suggest that the clinical spectrum of chronic small bowel ischemia may be wider than previously appreciated. Chronic ischemia of the small bowel should be included in the differential diagnosis for painless watery diarrhea in the context of weight loss.