title: Elective bypass surgery for chronic mesenteric ischemic disease: report of 3 cases and review of the literature.
abstract: Chronic mesenteric ischemic disease is an unusual cause of chronic abdominal pain. We present our experience from open surgical treatment of patients with this rare disease followed by a short review of the literature. During the period 2006-2008, three patients were referred to our department with clinical and radiological findings of chronic mesenteric ischemic disease. In all patients, at least 2 out of 3 splachnic vessels (celiac artery, superior and inferior mesenteric artery) were occluded, with severe stenosis of the third. Open surgical revasculation was performed in all patients, using autologous or synthetic (Dacron) bypass grafts. Graft patency was examined with triplex ultrasound studies at 3, 6 and 12 months postoperatively and/or follow up CT angiography. All patients had patent grafts during the follow up period and have regained their normal body weight. Immediate and late results, technical details and controversies in open surgical revasculation for chronic mesenteric ischemic disease are reviewed. In conclusion open surgical revasculation for chronic mesenteric ischemic disease is a technically challenging procedure with good results in patients younger than 70 years old , with long occlusions of the splachnic vessels and severe calcification of the vessel wall.
authors: First Department of Surgery, National and Kapodistrian University of Athens Medical School, Laiko Hospital, Athens Greece.
authors: C
authors: C
authors: Bakoyiannis
authors: E
authors: E
authors: Psathas
authors: N
authors: N
authors: Tsekouras
authors: M
authors: M
authors: Kafeza
authors: S
authors: S
authors: Georgopoulos
authors: E
authors: E
authors: Bastounis
authors: E
authors: E
authors: Papalambros
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D015901:Angiography, Digital Subtraction; D019917:Blood Vessel Prosthesis Implantation; D017558:Elective Surgical Procedures; D005260:Female; D005268:Femoral Vein / Q000637:transplantation*; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D065666:Mesenteric Ischemia; D008641:Mesenteric Vascular Occlusion / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014652:Vascular Diseases / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D014654:Vascular Patency