Abstract
The mesenteric circulation is richly endowed with redundant anatomy in the form of collateral channels that connect the beds served by the celiac, superior mesenteric, and inferior mesenteric arteries. Arcades parallel the bowel wall connecting the distal branches of these arteries. Similar redundancy is present in the venous drainage beds. As a result, occlusion of major trunk vessels may be well tolerated, provided the occlusive process is sufficiently gradual to allow compensatory collateral enlargement and the major collaterals are themselves uninvolved. Even without intrinsic mesenteric disease, blood flow is influenced dramatically by physiologic vasoreactivity. This phenomenon comes into play in the face of various severe systemic illnesses associated with hypovolemia and circulatory collapse, and contributes prominently to the pathophysiology of nonocclusive mesenteric ischemia and mesenteric venous occlusion.
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References
Stoney RJ, Wylie EJ: Surgery of celiac and mesenteric arteries. In Vascular Surgery: Principles and Techniques. Edited by Haimovici H. New York: McGraw-Hill Book Company; 1976: 668–679.
Grant JCB: An Atlas of Anatomy, edn 5. Baltimore: Williams and Wilkins; 1962.
Sobotta J, Figge FHJ: Atlas of Human Anatomy, vol 2. Baltimore: Urban and Schwarzenberg; 1977: 115.
Bloom W, Fawcett DW: A Textbook of Histology. Philadelphia: WB Saunders; 1982: 454.
Lilly MP, Harward TRS, Flinn WR, et al.: Duplex ultrasound measurement of changes in mesenteric flow velocity with pharmacologic and physiologic alteration of intestinal blood flow in man. J Vasc Surg 1989, 9:18–25.
Boley SI, Brandt LJ, Veith FJ: Ischemic disorders of the intestines. In Current Problems in Surgery, vol XV, no 4. Chicago: Year Book Medical Publishers, Inc.; 1978: 21.
Boley SJ, Regan JA, Tunick PA, et al.: Persistent vasoconstriction: a major factor in non-occlusive mesenteric ischemia. Curr Top Surg Res 1971, 3:425.
Jackson BB: Occlusion of the Superior Mesenteric Artery. Springfield, IL: C.C. Thomas; 1963.
Harward TRS, Green D, Bergan JJ, et al.: Mesenteric venous thrombosis. J Vasc Surg 1989, 9:328–333.
Harward TRS, Bergan JJ: Mesenteric venous thrombosis. In Vascular Surgery, edn 3. Edited by Rutherford RB. Philadelphia: W.B. Saunders; 1989: 1113–1115.
Yao JST, Bergan JJ, Pearce WH, et al.: Operative procedures in visceral ischemia. In Techniques in Arterial Surgery. Edited by Bergan JJ, Yao JST. Philadelphia: W.B. Saunders; 1990:284–293.
Reilly LM, Ammar AD, Stoney RJ, et al.: Late results following operative repair for celiac artery compression syndrome. J Vasc Surg 1985, 2:79–91.
Wylie EJ, Stoney RJ, Ehrenfeld WK: Manual of Vascular Surgery, vol I. New York: Springer-Verlag; 1980.
Bergan JJ, Yao JST: Chronic intestinal ischemia. In Vascular Surgery, edn 3. Edited by Rutherford RB. Philadelphia: W.B. Saunders; 1989: 1097–1103.
Cunningham CG, Reilly LM, Rapp JH, et al.: Chronic visceral ischemia: three decades of progress. Ann Surg 1991, 214:276–288.
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Donaldson, M.C. (2003). Mesenteric Vascular Disease. In: Creager, M.A. (eds) Atlas of Vascular Disease. Current Medicine Group, London. https://doi.org/10.1007/978-1-4757-4564-1_5
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DOI: https://doi.org/10.1007/978-1-4757-4564-1_5
Publisher Name: Current Medicine Group, London
Print ISBN: 978-1-4757-4566-5
Online ISBN: 978-1-4757-4564-1
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