%0 Journal Article
%T Isquemia intestinal por estenosis de la arteria mesent谷rica superior. Tratamiento con angioplastia e implante de stent
%A Andr谷s Montoya Durana
%A Fabio Leonel Gil Parada
%A Pedro A Nieves
%A Nabil Hamdan S
%J Revista Colombiana de Gastroenterologia
%D 2004
%I Asociaci車n Colombiana de Gastroenterolog赤a
%X La isquemia intestinal cr車nica es un cuadro poco frecuente que se encuentra asociado a una alta morbilidad y mortalidad. La causa m芍s frecuente es la arterioesclerosis. Los pacientes sufren de dolor abdominal periumbilical o en epigastrio, que aparece de 10 a 30 minutos luego de la ingesti車n de alimentos. Presentamos un caso de isquemia intestinal cr車nica diagnosticado por colonoscopia con biopsias. Se practic車 arteriograf赤a que mostr車 estenosis de la arteria mesent谷rica superior y se trat車 con angioplastia percut芍nea e implante de stent. El paciente present車 completa mejor赤a cl赤nica y endosc車pica. Se comentan los hallazgos cl赤nicos, endosc車picos, radiol車gicos y el procedimiento terap谷utico. Creemos que el tratamiento con arteriograf赤a, angioplastia y colocaci車n de stent es una alternativa que puede mejorar los resultados cl赤nicos disminuyendo la morbimortalidad en esta patolog赤a. Chronic mesenteric arterial ischemia is an uncommon condition associated with a high morbidity and mortality. It is most commonly caused by atherosclerotic occlusive disease. Patients may suffer epigastric or periumbilical post prandial pain, ten to thirty minutes after eating. A case of chronic mesenteric ischemia is presented due to superior mesenteric artery stenosis. The diagnosis was performed with colonoscopy and biopsy. We present a case report of a patient with chronic mesenteric ischemia. Mesenteric arteriography was performed and documented estenosis of the mesenteric superior artery. Then, percutaneus arteriography with angioplasty and implant of stent was performed. The patient became completely asymptomatic and normal colon mucosa is observed in a control colonoscopy. The purpose of this report is to present the case, endoscopic, clinic and radiological features and to describe the percutaneous angioplasty and implant of stent.We believe that angioplasty treatment offers an improvement in this pathology with a low complication rate, and increasing patient confort degree.
%K isquemia mesent谷rica
%K arteria mesent谷rica
%K angioplastia percut芍nea
%K mesenteric artery
%K mesenteric ischemia
%K percutaneous angioplasty
%U http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-99572004000400013