Chronic mesenteric vascular syndrome. Results of reconstructive surgery
R. H. Geelkerken, J. H. van Bockel, W. K. de Roos, J. Hermans and J. L. Terpstra
Department of Surgery, University Hospital of Leiden, The Netherlands.
Since 1961, 14 patients at the University Hospital of Leiden, the
Netherlands, have undergone reconstructive surgery for treatment of chronic
mesenteric vascular syndrome. Of the 42 mesenteric arteries, 31 were
severely obstructed (mean, 2.2 stenotic arteries per patient). A total of
23 mesenteric arteries were repaired. Long-term follow-up data were
available for all 13 surviving patients (mean follow-up, 11.8 years).
Symptoms were relieved immediately after surgery, and relief was maintained
during follow-up. Digital subtraction angiography at long-term follow-up
evaluation was performed in eight patients (13 reconstructions) with these
results: 11 (85%) of the 13 reconstructions were patent and severe stenoses
were found in eight (33%) of the 24 mesenteric arteries (mean, 1.0 stenotic
artery per patient). We conclude that reconstructive surgery for patients
with chronic mesenteric vascular syndrome promptly relieves symptoms,
provides excellent patency, and has long-lasting beneficial results.
