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World J Gastroenterol. Mar 7, 2013; 19(9): 1333-1337
Published online Mar 7, 2013. doi: 10.3748/wjg.v19.i9.1333
Published online Mar 7, 2013. doi: 10.3748/wjg.v19.i9.1333
Chronic mesenteric ischemia: Time to remember open revascularization
Michael Keese, Thomas Schmitz-Rixen, Thomas Schmandra, Clinic for Vascular and Endovascular Surgery, Johann Wolfgang Goethe University Hospital, 60590 Frankfurt, Germany
Author contributions: Keese M and Schmandra T wrote the paper; Schmitz-Rixen T provided technical discussions and overall responsibility.
Correspondence to: Dr. Michael Keese, Clinic for Vascular and Endovascular Surgery, Johann Wolfgang Goethe University Hospital, 60590 Frankfurt, Germany. michael.keese@kgu.de
Telephone: +49-69-63015349 Fax: +49-69-63015336
Received: May 21, 2012
Revised: September 10, 2012
Accepted: September 19, 2012
Published online: March 7, 2013
Revised: September 10, 2012
Accepted: September 19, 2012
Published online: March 7, 2013
Abstract
Chronic mesenteric ischemia is caused by stenosis or occlusion of one or more visceral arteries. It represents a therapeutic challenge and diagnosis and treatment require close interdisciplinary cooperation between gastroenterologist, vascular surgeon and radiologist. Although endovascular treatment modalities have been developed, the number of restenoses ultimately resulting in treatment failure is high. In patients fit for open surgery, the visceral arteries should be revascularized conventionally. These patients will then experience long term relief from the symptoms, a better quality of life and a better overall survival.
Keywords: Chronic mesenteric ischemia, Stent, Vascular surgery, Restenosis, Prognosis