Berndt V, Wittrin G
Leber Magen Darm. 1978 Feb;8(1):43-51.
Chronic intestinal ischemia has to be diagnosed by an interdisciplinary approach. Clinical symptoms are unrevealing; usually the internist and the radiologist make the diagnosis after numerous special examinations and arteriography of the abdominal aorta in two planes. Indications for conservative treatment vs. surgery have to be discussed between the specialists involved, that is the internist, the radiologist, the anesthesist and the surgeon. Surgical problems in cases with chronic vascular occlusions are problems of vascular surgery and surgery may be well planned and performed electively. Acute occlusions of intestinal vessels however require mostly immediate surgery of the intestine itself which has to be performed as an emergency procedure because of the impending organ necrosis and complications; this is demonstrated in the case of ischemic colitis.
慢性肠缺血必须通过多学科方法进行诊断。临床症状不明显；通常内科医生和放射科医生要在进行大量特殊检查以及在两个平面上对腹主动脉进行血管造影后才能做出诊断。保守治疗与手术治疗的适应症必须由相关专科医生，即内科医生、放射科医生、麻醉师和外科医生共同讨论决定。慢性血管闭塞病例的手术问题属于血管外科问题，手术可以精心规划并择期进行。然而，肠道血管的急性闭塞大多需要立即对肠道本身进行手术，由于即将发生器官坏死和并发症，这必须作为紧急手术来进行；缺血性结肠炎的病例就证明了这一点。
