Gastric Ischemia Secondary to Abdominal Distension

Division

North Florida

Hospital

Osceola Regional Medical Center

Document Type

Case Report

Publication Date

1-19-2021

Keywords

gastric ischemia, atherosclerosis, sepsis, upper gastrointestinal bleeding

Disciplines

Digestive System Diseases | Emergency Medicine | Gastroenterology

Abstract

Gastric ischemia has been reported in the literature mainly as case reports and case series. It is uncommon because of its excellent blood supply. Patients with atherosclerosis and vascular insufficiency are at risk for gastric ischemia, especially with gastric distension. Workup may reveal radiographic findings that denote ischemia and would prompt surgical intervention. However, these patients with vascular insufficiency tend to be poor surgical candidates, which can present a dilemma. The authors report two cases where non-operative management for gastric ischemia was successfully accomplished.

Publisher or Conference

Cureus

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