Resumo

MONTOYA DURANA, Andrés et al. Isquemia intestinal por estenosis de la arteria mesentérica superior. Tratamiento con angioplastia e implante de stent. Rev Col Gastroenterol [online]. 2004, vol.19, n.4, pp.291-295. ISSN 0120-9957.

Chronic mesenteric arterial ischemia is an uncommon condition associated with a high morbidity and mortality. It is most commonly caused by atherosclerotic occlusive disease. Patients may suffer epigastric or periumbilical post prandial pain, ten to thirty minutes after eating. A case of chronic mesenteric ischemia is presented due to superior mesenteric artery stenosis. The diagnosis was performed with colonoscopy and biopsy. We present a case report of a patient with chronic mesenteric ischemia. Mesenteric arteriography was performed and documented estenosis of the mesenteric superior artery. Then, percutaneus arteriography with  angioplasty and implant of stent was performed. The patient became completely asymptomatic and normal colon mucosa is observed in a control colonoscopy. The purpose of this report is to present the case, endoscopic, clinic and radiological features and to describe the percutaneous angioplasty and implant of stent.We believe that angioplasty treatment offers an improvement in this pathology with a low complication rate, and increasing patient confort degree.

Palavras-chave : mesenteric artery; mesenteric ischemia; percutaneous angioplasty.

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