XXXX . A 26-year experience.

@entity1 @entity455 @entity5327 @entity1188 @entity204 @entity6029 @entity438
@entity455 are infrequent, but may be catastrophic. During a 26-year period, 55 private @entity1 were treated for the following disorders: (1) 12 @entity1 with visceral @entity438 , (2) 8 with celiac compression syndrome, (3) 13 with @entity5327 , (4) 12 with acute @entity5327 , and (5) 10 with @entity5327 associated with aortic reconstructions. @entity438 were managed by excision and splenectomy, while celiac and hepatic had excision with graft replacement. @entity1 with celiac compression syndrome underwent lysis of the celiac artery. Two @entity1 had compression of both celiac and @entity6029 ( @entity6029 ). One @entity1 required vascular reconstruction of both arteries for residual stenoses. @entity1 having @entity5327 were treated with bypass grafts, with one @entity204 (7.7% mortality) and good long-term results. Those with acute @entity5327 were treated by @entity6029 , bowel resection, or both, with a mortality of 67%. When associated with aortic reconstructions, @entity5327 carried a mortality of 100% if bowel @entity1188 occurred after operation, but when prophylactic mesenteric revascularization was performed at the time of aortic surgery, prognosis was greatly improved, with only one @entity204 among six @entity1 . An aggressive approach including prompt arteriography with early diagnosis and surgical therapy is advocated for these catastrophic acute mesenteric problems.
