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Long-term results of the surgical management of symptomatic chronic intestinal ischemiaCalderon, Moises ...We analyzed our surgical experience in 20 patients who underwent revascularization procedures for symptomatic chronic intestinal ischemia caused by atherosclerosis. The group comprised 17 women and 3 ... men, with an agerange of 25 to 71 years (mean 58.6 years). Sixteen patients had postprandial abdominal pain, and 4 had pain not related to eating. The averageweight loss was 23.8 lb. Malabsorption and diarrhea were present in 8 patients. The duration of the symptoms was from 4 to 46 months (mean 13.4 months). One patient presented with acute intestinal ischemia following balloon angioplasty reocclusion of a stenotic celiac artery, and 3 underwent surgery for stenosis of a previously placed graft. Five patients had single mesenteric artery involvement, 10 had double-artery involvement, and 5 had significant occlusion in all 3 mesenteric arteries. The major arteries were revascularized whenever technically possible; therefore, 36 arteries were revascularized in 20 patients. Bypass grafts were done in 27 vessels, reimplantation in 7, and endarterectomy with patch angioplasty in 2. The saphenous vein was used in 12 vessels, polytetrafluoroethylene grafts in 8, dacron in 6, and inferior mesenteric vein in 1. The type of revascularization or graft utilized did not affect long-term patency. Two patients had early graft thrombosis and required intestinal resection. All patients survived the operation. At a mean follow-up of 36 months, all 20 patients were alive and asymptomatic with regard to their abdominal complaint. Ten patients (50%) underwent postoperative abdominal angiography; all the grafts were patent. (Abstract truncated at 2000 characters)Source: Journal of Cardiovascular Surgery. - ISSN 0021-9509 (Letn. 33, št. 6, 1992, str. 723-728)Type of material - article, component partPublish date - 1992Language - englishCOBISS.SI-ID - 24206297
Author
Calderon, Moises |
Reul, George J. |
Gregorič, Igor |
Jacobs, Michael, zdravnik |
Duncan, James Michael |
Ott, David A. |
Livesay, James J. |
Cooley, Denton A., 1920-2016
Topics
Adult |
Aged |
Angioplasty, Balloon |
Arteriosclerosis |
Surgery |
Blood Vessel Prosthesis |
Celiac Artery |
Surgery |
Chronic Disease |
Intestine, Small |
Blood Supply |
Mesenteric Arteries |
Mesenteric Vascular Occlusion |
Surgery |
Saphenous Vein |
Transplantation |
Celiakalna arterija |
Črevo tanko |
Arterioskleroza |
Starostniki |
Kronična bolezen |
Odrasli |
Mezenterična žila, okluzija |
Safenska vena |
Krvna žila, proteza |
Angioplastika balonska |
Mezenterične arterije
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Database name | Field | Year |
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Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
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Calderon, Moises | |
Reul, George J. | |
Gregorič, Igor | 29980 |
Jacobs, Michael, zdravnik | |
Duncan, James Michael | |
Ott, David A. | |
Livesay, James J. | |
Cooley, Denton A., 1920-2016 |
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