Tratamiento quirúrgico de la isquemia mesentérica crónica: Caso clínico

Although the classic therapy for chronic mesenteric ischemia is surgical revascularization, endovascular therapy is a new therapeutic option. We report a 55 year-old female, with a 2 years history of post prandial abdominal pain, diarrhoea, and weight loss, with occlusion of both mesenteric arteries...

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Autores principales:	Marín P,Juan, Manríquez C,Luis, Schweizer H,Helmuth, Tellez M,Juan, Rossel D,Gonzalo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2007
Materias:	Embolism and thrombosis Ischemia Mesenteric arteries
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000100013
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spelling	oai:scielo:S0034-988720070001000132014-01-06Tratamiento quirúrgico de la isquemia mesentérica crónica: Caso clínicoMarín P,JuanManríquez C,LuisSchweizer H,HelmuthTellez M,JuanRossel D,Gonzalo Embolism and thrombosis Ischemia Mesenteric arteries Although the classic therapy for chronic mesenteric ischemia is surgical revascularization, endovascular therapy is a new therapeutic option. We report a 55 year-old female, with a 2 years history of post prandial abdominal pain, diarrhoea, and weight loss, with occlusion of both mesenteric arteries and critical stenosis of the celiac artery. The initial treatment consisted in angioplasty and celiac artery stent placement in two occasions, with a brief symptomatic relief. Finally, a visceral artery bypass was performed, with good post operative outcome and complete symptomatic resolution at one year follow up. In our opinion endovascular therapy is a good therapeutic option for chronic mesenteric ischemia in high surgical risk patients, specially when dealing with stenotic injuries. It may also be a complement for patients who need to recover their nutritional status prior to revascularization surgery. On the other hand, due to the long term patency and symptomatic relief, surgical treatment is a good option in low risk patientsinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.135 n.1 20072007-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000100013es10.4067/S0034-98872007000100013
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Embolism and thrombosis Ischemia Mesenteric arteries
spellingShingle	Embolism and thrombosis Ischemia Mesenteric arteries Marín P,Juan Manríquez C,Luis Schweizer H,Helmuth Tellez M,Juan Rossel D,Gonzalo Tratamiento quirúrgico de la isquemia mesentérica crónica: Caso clínico
description	Although the classic therapy for chronic mesenteric ischemia is surgical revascularization, endovascular therapy is a new therapeutic option. We report a 55 year-old female, with a 2 years history of post prandial abdominal pain, diarrhoea, and weight loss, with occlusion of both mesenteric arteries and critical stenosis of the celiac artery. The initial treatment consisted in angioplasty and celiac artery stent placement in two occasions, with a brief symptomatic relief. Finally, a visceral artery bypass was performed, with good post operative outcome and complete symptomatic resolution at one year follow up. In our opinion endovascular therapy is a good therapeutic option for chronic mesenteric ischemia in high surgical risk patients, specially when dealing with stenotic injuries. It may also be a complement for patients who need to recover their nutritional status prior to revascularization surgery. On the other hand, due to the long term patency and symptomatic relief, surgical treatment is a good option in low risk patients
author	Marín P,Juan Manríquez C,Luis Schweizer H,Helmuth Tellez M,Juan Rossel D,Gonzalo
author_facet	Marín P,Juan Manríquez C,Luis Schweizer H,Helmuth Tellez M,Juan Rossel D,Gonzalo
author_sort	Marín P,Juan
title	Tratamiento quirúrgico de la isquemia mesentérica crónica: Caso clínico
title_short	Tratamiento quirúrgico de la isquemia mesentérica crónica: Caso clínico
title_full	Tratamiento quirúrgico de la isquemia mesentérica crónica: Caso clínico
title_fullStr	Tratamiento quirúrgico de la isquemia mesentérica crónica: Caso clínico
title_full_unstemmed	Tratamiento quirúrgico de la isquemia mesentérica crónica: Caso clínico
title_sort	tratamiento quirúrgico de la isquemia mesentérica crónica: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2007
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000100013
work_keys_str_mv	AT marinpjuan tratamientoquirurgicodelaisquemiamesentericacronicacasoclinico AT manriquezcluis tratamientoquirurgicodelaisquemiamesentericacronicacasoclinico AT schweizerhhelmuth tratamientoquirurgicodelaisquemiamesentericacronicacasoclinico AT tellezmjuan tratamientoquirurgicodelaisquemiamesentericacronicacasoclinico AT rosseldgonzalo tratamientoquirurgicodelaisquemiamesentericacronicacasoclinico
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Tratamiento quirúrgico de la isquemia mesentérica crónica: Caso clínico

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