Ischemic gastropathy: an unusual cause of abdominal pain and gastric ulcers.
Chronic mesenteric ischemia classically presents as "intestinal angina" with generalized postprandial abdominal pain lasting up to 3 hours. Over time, these episodes can become much more intense and ultimately lead to sitophobia with significant weight loss. Symptoms are not specific and often mistakenly attributed to other gastrointestinal etiologies such as peptic ulcer disease. Gastric ulcerations as a direct result of mesenteric ischemia have been reported but are relatively rare because of the rich collateral blood supply to the stomach. Therefore, a diagnosis of ischemic gastropathy is seldom entertained in patients presenting with abdominal pain and gastric ulcers.
Kaptik
Steven
S
Department of Gastroenterology and Hepatology, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA. kaptik55@yahoo.com
Jamal
Yasser
Y
Jackson
Barbara Kay
BK
Tombazzi
Claudio
C
D015746:Abdominal Pain / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D000368:Aged; D005753:Gastric Mucosa / Q000098:blood supply* / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D013276:Stomach Ulcer / Q000150:complications / Q000175:diagnosis* / Q000601:surgery