Abstract:
:The experience of The Middlesex Hospital in the investigation and management of chronic intestinal arterial occlusion (IAO) over a 20 year period is presented. Of some 100 patients referred only 28 were found to have IAO and these were critically evaluated in terms of insorptive and exsorptive function. No relation was found between intestinal performance and the degree of potential ischaemia suggested by angiography. Twenty two patients underwent reconstruction of the coeliac axis and mesenteric arteries, with three perioperative deaths. The remainder were followed for periods ranging between six months and 10 years. Of these, 15 are asymptomatic, one is unchanged, and one is subjectively worse. The role of elective surgery in relation to the visceral arteries is critically discussed in the light of these results, and in the perspective of the world experience.
journal_name
Gutjournal_title
Gutauthors
Marston A,Clarke JM,Garcia Garcia J,Miller ALdoi
10.1136/gut.26.7.656subject
Has Abstractpub_date
1985-07-01 00:00:00pages
656-66issue
7eissn
0017-5749issn
1468-3288journal_volume
26pub_type
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