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Isquemia mesentérica crónica, tratamiento quirúrgico. Reporte de dos casos

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2011-02
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Ceroni V., Marco
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Isquemia mesentérica crónica, tratamiento quirúrgico. Reporte de dos casos
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Author
  • Ceroni V., Marco;
  • Barrera Escobar, Alejandro;
  • Wallach W., Daniel;
  • Uribe L., Juan Pablo;
  • Carreño O., Pablo;
  • Bannura Cumsille, Guillermo;
Abstract
Chronic mesenteric ischemia is uncommon and often not recognized by clinicians. We report two patients with the disease. A 61 years old female with a two years history of abdominal pain, diarrhea, anorexia and weight loss. A mesenteric arteriography showed a critical stenosis of the celiac artery. The patient was operated and a retrograde bypass from the iliac to the mesenteric artery was placed. Digestive symptoms ceased and the patient gained weight. A 49 years old smoker female, with a two years history of abdominal pain and weight loss, without diarrhea. A doppler ultrasonography of abdominal arteries showed a critical stenosis of the celiac artery. The angiography confirmed the stenosis and disclosed also a complete occlusion of the common hepatic artery. The patient was operated placing anterograde aortic-mesenteric and aortic- hepatic bypasses. During the follow up, the patient is in good conditions.
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Artículo de publicación ISI
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URI: https://repositorio.uchile.cl/handle/2250/128876
ISSN: 0379-3893
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REVISTA CHILENA DE CIRUGIA Volume: 63 Issue: 1 Pages: 81-86 Published: FEB 2011
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