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慢性肠系膜缺血:是时候重新记住开放血运重建了。

Chronic mesenteric ischemia: time to remember open revascularization.

出版信息

World J Gastroenterol. 2013 Mar 7;19(9):1333-7. doi: 10.3748/wjg.v19.i9.1333.

DOI:10.3748/wjg.v19.i9.1333
PMID:23539677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3602490/
Abstract

Chronic mesenteric ischemia is caused by stenosis or occlusion of one or more visceral arteries. It represents a therapeutic challenge and diagnosis and treatment require close interdisciplinary cooperation between gastroenterologist, vascular surgeon and radiologist. Although endovascular treatment modalities have been developed, the number of restenoses ultimately resulting in treatment failure is high. In patients fit for open surgery, the visceral arteries should be revascularized conventionally. These patients will then experience long term relief from the symptoms, a better quality of life and a better overall survival.

摘要

慢性肠系膜缺血是由一条或多条内脏动脉狭窄或闭塞引起的。它是一个治疗难题,诊断和治疗需要胃肠病学家、血管外科医生和放射科医生之间密切的跨学科合作。尽管已经开发出了腔内治疗方法,但最终导致治疗失败的再狭窄数量仍然很高。对于适合开放手术的患者,应常规进行内脏动脉血运重建。这些患者随后将长期缓解症状,提高生活质量和总体生存率。

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