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chronic mesenteric ischemia

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chronic mesenteric ischemia
Abdominal angina A condition characterized by intermittent severe ischemia, resulting in abdominal colic, beginning 15-30 mins post-prandially, lasting 1-2 hrs, and appearing when 2 or all 3–superior and inferior mesenteric and celiac major abdominal arteries have severe ASHD; since the intestine's O2 demand ↑ with meals, Pts avoid the pain by not eating, and thus lose weight; malabsorption may occur because absorption is O2-dependent Management Bypass, endarterectomy, vascular reimplantation, percutaneous transluminal angioplasty


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Chronic mesenteric ischemia caused by atherosclerosis is commonly associated with chronic abdominal pain after eating, and occasionally, diarrhea.
 
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