Connolly J E, Kwaan J H
Surg Clin North Am. 1982 Jun;62(3):345-56. doi: 10.1016/s0039-6109(16)42729-5.
The triad of postprandial pain, weight loss, and diarrhea are the hallmarks of abdominal angina. An anastomotic meandering mesenteric artery noted on frontal arteriogram is valuable in signaling significant disease, but lateral views are the sine qua non for diagnosis. Early surgical correction either by local endarterectomy or bypass of a stenotic or occluded segment and accurate selection of cases results in long-term correction of the intestinal ischemia. When advanced occlusive disease of the mesenteric arteries is noted on the preoperative arteriogram of patients selected for aortoiliofemoral, renal artery, or aortic aneurysm reconstructive surgery, concomitant reconstitution of the mesenteric vascular circulation is advisable. It is our opinion that such an approach can be a significant deterrent to subsequent catastrophic bowel infarction from mesenteric arterial occlusive disease.
餐后疼痛、体重减轻和腹泻三联征是腹型心绞痛的特征。正位动脉造影显示的吻合迂曲肠系膜动脉对提示严重疾病很有价值，但侧位片是诊断的关键。早期通过局部内膜切除术或狭窄或闭塞段旁路手术进行手术矫正，并准确选择病例，可长期纠正肠道缺血。当在选择进行主-髂-股动脉、肾动脉或主动脉瘤重建手术的患者术前动脉造影中发现肠系膜动脉严重闭塞性疾病时，建议同时重建肠系膜血管循环。我们认为，这种方法可显著预防随后因肠系膜动脉闭塞性疾病导致的灾难性肠梗死。
