Ischemic Gastropathy: An Unusual Cause of Abdominal Pain and Gastric Ulcers |
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| Authors: | Steven Kaptik Yasser Jamal Barbara Kay Jackson Claudio Tombazzi |
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| Affiliation: | 1. Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio;2. Department of Infectious Disease, Medicine Institute, Cleveland Clinic, Cleveland, Ohio;3. Alcohol and Drug Recovery Center, Neurological Institute, Cleveland Clinic, Cleveland, Ohio;4. Department of Quantitative Health Sciences, Research Institute, Cleveland Clinic, Cleveland, Ohio;1. Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio;2. Department of Infectious Disease, Cleveland Clinic, Cleveland, Ohio;3. Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio;4. Division of Cardiothoracic Surgery, Baylor College of Medicine, Houston, Tex;6. Department of Infectious Diseases, Baylor College of Medicine, Houston, Tex;5. Texas Heart Institute, Houston, Tex;1. Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio;2. Department of Quantitative Health Sciences, Research Institute, Cleveland Clinic, Cleveland, Ohio |
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| Abstract: | Chronic mesenteric ischemia classically presents as “intestinal angina” with generalized postprandial abdominal pain lasting up to 3 hours. Over time, these episodes can become much more intense and ultimately lead to sitophobia with significant weight loss. Symptoms are not specific and often mistakenly attributed to other gastrointestinal etiologies such as peptic ulcer disease. Gastric ulcerations as a direct result of mesenteric ischemia have been reported but are relatively rare because of the rich collateral blood supply to the stomach. Therefore, a diagnosis of ischemic gastropathy is seldom entertained in patients presenting with abdominal pain and gastriculcers. |
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