만성 장간막허혈증을 경피적 혈관성형술로 치료한

• Published in: The Korean journal of gastroenterology Vol. 41; no. 6; pp. 499 - 503
• Main Authors: 문인성, In Sung Moon, 권오상, Oh Sang Kwon, 정혁상, Hyuk Sang Jung, 김영남, Young Nam Kim, 설원종, Won Jong Seol, 정승기, Seung Ki Jeong, 주기탁, Ki Tak Ju, 김선숙, Sun Suk Kim, 서태석, Tae Seok Seo, 양달모, Dal Mo Yang, 최덕주, Duck Joo Choi
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 25-06-2003
• Subjects: Angioplasty; Chronic mesenteric ischemia; transluminal
• ISSN: 1598-9992

Chronic mesenteric ischemia is characterized by postprandial pain and marked weight loss. It is provoked by inadequate intestinal blood flow and the increased metabolic demands associated with digestion. Diagnosis must be based on clinical symptoms, arteriographic demonstration of an occlusive process of the splanchnic vessels, exclusion of other gastrointestinal disorders, and the response to revascularization. Specially, angiography is indicated to confirm the diagnosis, to assess disease severity, and to plan revascularization. It can be treated by either surgical reconstruction of an artery or percutaneous transluminal balloon angioplasty with or without stenting. We had experienced a 63-year-old man who presented with postprandial abdominal pain and weight loss unexplained by conventional diagnostic studies. The aortography revealed about 80% of stenotic lesion in the superior mesenteric artery. After percutaneous transluminal angioplasty, postprandial abdominal pain was completely relieved. We report a case of chronic mesenteric ischemia with a review of relevant literature. (Korean J Gastroenterol 2003;41:499-503)