Marston A, Clarke J M, Garcia Garcia J, Miller A L
Gut. 1985 Jul;26(7):656-66. doi: 10.1136/gut.26.7.656.
The experience of The Middlesex Hospital in the investigation and management of chronic intestinal arterial occlusion (IAO) over a 20 year period is presented. Of some 100 patients referred only 28 were found to have IAO and these were critically evaluated in terms of insorptive and exsorptive function. No relation was found between intestinal performance and the degree of potential ischaemia suggested by angiography. Twenty two patients underwent reconstruction of the coeliac axis and mesenteric arteries, with three perioperative deaths. The remainder were followed for periods ranging between six months and 10 years. Of these, 15 are asymptomatic, one is unchanged, and one is subjectively worse. The role of elective surgery in relation to the visceral arteries is critically discussed in the light of these results, and in the perspective of the world experience.
本文介绍了米德尔塞克斯医院在20年期间对慢性肠动脉闭塞（IAO）进行调查和管理的经验。在约100例转诊患者中，仅28例被发现患有IAO，并根据吸收和排泄功能对这些患者进行了严格评估。未发现肠道功能与血管造影提示的潜在缺血程度之间存在关联。22例患者接受了腹腔干和肠系膜动脉重建手术，围手术期死亡3例。其余患者随访时间为6个月至10年。其中，15例无症状，1例病情无变化，1例主观感觉病情恶化。根据这些结果，并结合全球经验，对选择性手术在内脏动脉方面的作用进行了严格讨论。
