由慢性肠系膜缺血引起的严重缺血性胃炎。

IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE
Jornal Vascular Brasileiro Pub Date : 2023-08-11 eCollection Date: 2023-01-01 DOI:10.1590/1677-5449.202300022
Bruno Moraes Ribas, Eduardo Camargo Rebolho, Guilherme Figueiró Ferronatto, Pedro Henrique Bragato, Hugo Genki Kagawa Akahane, Eduardo José Brommelstroet Ramos, Thienis Maria da Costa Lima, Barbara D'agnoluzzo Moreira
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引用次数: 0

摘要

缺血性胃炎是一种罕见的由局部或全身血管功能不全引起的疾病。这种情况在医学实践中很少出现,因为通过腹腔干和肠系膜上动脉向胃提供大量的动脉侧支血液,也因为其他病因要常见得多。慢性缺血的典型表现包括餐后疼痛、体重减轻和腹部瘀伤。干预适用于有症状的患者,血管内治疗是高合并症患者手术的替代方案,效果良好。我们报告一例71岁女性患者,患有严重缺血性胃炎,伴有溃疡和出血,由慢性肠系膜缺血引起,腹腔干和肠系膜下动脉闭塞,肠系膜上动脉严重狭窄。影像学检查证实了诊断,患者接受了血管内治疗。这是一种罕见的疾病,很难诊断和治疗,需要一个多学科团队进行适当的管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Severe ischemic gastritis caused by chronic mesenteric ischemia.

Ischemic gastritis is a rare illness caused by localized or systemic vascular insufficiency. This condition is rarely seen in medical practice due to the vast arterial collateral blood supply to the stomach through the celiac trunk and superior mesenteric artery and also because other etiologies are much more frequent. The classic presentation of chronic ischemia is comprises the triad of postprandial pain, weight loss, and abdominal bruit. Intervention is indicated in symptomatic patients and endovascular treatment is an alternative to surgery in patients with high comorbidity that offers good results. We report a case of a 71-year-old female patient with severe ischemic gastritis with ulcers and bleeding caused by chronic mesenteric ischemia with occlusion of the celiac trunk and inferior mesenteric artery and critical stenosis of the superior mesenteric artery. The diagnosis was confirmed by imaging, and the patient underwent endovascular treatment. This is a rare condition that is difficult to diagnose and treat and a multidisciplinary team is needed for proper management.

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来源期刊
Jornal Vascular Brasileiro
Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.20
自引率
0.00%
发文量
57
审稿时长
20 weeks
期刊介绍: The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.
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