Abstract:

Purpose: To evaluate the early postoperative and late follow-up results of patients who were operated due to chronic mesenteric ischemia in our clinic. Methods: All the data, clinical, operative and follow-up of six patients, who had undergone surgical mesenteric revascularization in the last six years in our clinic were re-evaluated. Mesenteric interventions which were performed during aneurysmal diseases or arcuate ligament syndromes were not included in the study. Results: Two of our patients were female. The mean age of the patients was 59.8 years (54-72 years). Postprandial abdominal pain was the major clinical finding, which was present in all the patients. All patients were also smokers and 4 patients had severely hypertensive. In five patients, accompanying arterial vascular diseases were present, including stenosis of carotid arteries in 2 patients, aorta-iliac occlusive diseases in 2 patients, abdominal aortic aneurysm in 1 patient and renal artery stenoses in 1 patient. None of the patients had coronary artery disease, that needed any kind of intervention. In all patients, a. mesenterica superior was revascularized. There wasn"t any morbidity or mortality in the early postoperative period. Late follow-up data was achieved for all patients. Mean long term follow-up period was 28±14 months (8-68 months). One patient was lost during the late follow-up. Conclusion: Even though the number of patients in our group is not enough to draw a concrete conclusion, it could be said that, surgical treatment of chronic mesenteric ischemia is safe and successful. The underlying reason of many acute occlusions is chronic mesenteric ischemia. The fact of very high mortality of these acute occlusions dictates that vascular surgeons should be in close collaboration with the gastroenterologist, (Turkish J Vasc Surg 2003;12(2): 5-9)

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