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Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2013 / Cilt: 21 - Sayı: 2

Splenik arterden superior mezenterik artere baypas ile kronik mezenterik iskeminin cerrahi tedavisi: Olgu sunumu

Surgical treatment of chronic mesenteric ischemia with splenic artery-to-superior mesenteric artery bypass: a case report

Yunus NAZLI
Mikdat BOZER
Necmettin ÇOLAK
Kayıhan AKIN
İsmail Olgun AKKAYA
Hüseyin ŞAHİN
Ömer ÇAKIR
Pages
463–466
Publication Date
2022-09-02
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this article, we present a 60-year-old female case of chronic mesenteric ischemia with inferior and superior mesenteric artery occlusion, who was successfully treated with splenic arteryto- superior mesenteric artery bypass surgery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Chronic mesenteric ischemia is a rare, but important cause of abdominal pain with high mortality and morbidity rates.
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Key Findings & Data:Postprandial abdominal pain, sitophobia and weight loss are the important clinical signs and symptoms.
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Conclusion & Impact:In this article, we present a 60-year-old female case of chronic mesenteric ischemia with inferior and superior mesenteric artery occlusion, who was successfully treated with splenic arteryto- superior mesenteric artery bypass surgery.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Chronic mesenteric ischemia is a rare, but important cause of abdominal pain with high mortality and morbidity rates. Postprandial abdominal pain, sitophobia and weight loss are the important clinical signs and symptoms. The main goal of the treatment is to relieve patient’s symptoms by restoration of intestinal perfusion and to prevent intestinal necrosis. Doppler ultrasound, computed tomography angiography, magnetic resonance angiography and conventional angiography are used in the diagnosis of chronic mesenteric ischemia. Surgical or endovascular interventions as well as medical therapy may be used in the treatment of chronic mesenteric ischemia. In this article, we present a 60-year-old female case of chronic mesenteric ischemia with inferior and superior mesenteric artery occlusion, who was successfully treated with splenic arteryto- superior mesenteric artery bypass surgery.

Özet

Kronik mezenterik iskemi, yüksek mortalite ve morbidite oranları ile karın ağrısının nadir, fakat önemli bir nedenidir. Yemek sonrası karın ağrısı, sitofobi ve kilo kaybı önemli klinik bulgu ve belirtilerdir. Tedavinin esas amacı, intestinal perfüzyonu yeniden sağlayarak hastanın belirtilerini ortadan kaldırmak ve bağırsak nekrozlarını önlemektir. Kronik mezenterik iskeminin tanısında Doppler ultrasonografi, bilgisayarlı tomografi anjiyografi, manyetik rezonans anjiyografi ve konvansiyonel anjiyografi kullanılır. Kronik mezenterik iskeminin tedavisinde medikal tedavinin yanı sıra cerrahi tedavi veya endovasküler girişimler de kullanılabilir. Bu yazıda inferior ve superior mezenterik arteri tıkalı kronik mezenterik iskemisi olan ve splenik arterden superior mezenterik artere baypas ameliyatı ile başarılı şekilde tedavi edilen 60 yaşında bir kadın olgu sunuldu.

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Cite This Article

NAZLI, Y., BOZER, M., ÇOLAK, N., AKIN, K., AKKAYA, İ. O., ŞAHİN, H., ÇAKIR, Ö. (2022). Splenik arterden superior mezenterik artere baypas ile kronik mezenterik iskeminin cerrahi tedavisi: Olgu sunumu. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 21 - Sayı: 2, 463–466. https://ajindex.com/articles/424538

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References (12)

  1. Sreenarasimhaiah J. Chronic mesenteric ischemia. Curr Treat Options Gastroenterol 2007;10:3-9
  2. Zacho HD, Abrahamsen J. Chronic intestinal ischaemia: diagnosis. Clin Physiol Funct Imaging 2008;28:71-5
  3. Soga Y, Yokoi H, Iwabuchi M, Nobuyoshi M. Endovascular treatment of chronic mesenteric ischemia. Circ J 2008;72:1198-200
  4. Geroulakos G, Tober JC, Anderson L, Smead WL. Antegrade visceral revascularisation via a thoracoabdominal approach for chronic mesenteric ischaemia. Eur J Vasc Endovasc Surg 1999;17:56-9
  5. Özer MT, Uzar Aİ, Özal E, Menteş Ö, Bingöl H, Harlak A ve ark. Superior mesenteric artery obstructıon and treatmant with mesenteroiliac bypass. Anatol J Clin Investig 2009;3:148-50
  6. Mukherjee D, Hendershot KM. Splenic artery-to-superior mesenteric artery bypass for chronic mesenteric ischemia--a case report. Vasc Endovascular Surg 2004;38:465-8
  7. Emrecan B, Önem G, Baltalarlı A. İntestinal anjina: Karın ağrısının ender bir nedeni. Turk Gogus Kalp Dama 2008;16:269-73
  8. Inoue Y, Sugano N, Iwai T. Long-term results of aortasuperior mesenteric artery bypass using a new route. Surg Today 2004;34:658-61
  9. Loffroy R, Guiu B, Cercueil JP, Krausé D. Chronic mesenteric ischemia: efficacy and outcome of endovascular therapy. Abdom Imaging 2010;35:306-14. doi: 10.1007/s00261-009- 9515-x
  10. Davies RS, Wall ML, Silverman SH, Simms MH, Vohra RK, Bradbury AW, et al. Surgical versus endovascular reconstruction for chronic mesenteric ischemia: a contemporary UK series. Vasc Endovascular Surg 2009;43:157-64. doi: 10.1177/1538574408328665
  11. Jimenez JG, Huber TS, Ozaki CK, Flynn TC, Berceli SA, Lee WA, et al. Durability of antegrade synthetic aortomesenteric bypass for chronic mesenteric ischemia. J Vasc Surg 2002;35:1078-84
  12. Woon CY, Tay KH, Tan SG. Delayed diagnosis of chronic mesenteric ischaemia. Singapore Med J 2007;48:e9-e12.