Endoscopy 2006; 38(5): 529-532
DOI: 10.1055/s-2006-925228
Case Report
© Georg Thieme Verlag KG Stuttgart · New York

Chronic Ischemic Gastritis: Case Report of a Difficult Diagnosis and Review of the Literature

V.  Quentin1 , N.  Dib1 , F.  Thouveny2 , P.  L’Hoste2 , A.  Croue3 , J.  Boyer1
  • 1Dept. of Gastroenterology, University Hospital, Angers, France
  • 2Dept. of Radiology, University Hospital, Angers, France
  • 3Dept. of Pathology, University Hospital, Angers, France
Further Information

Publication History

Submitted 14 January 2005

Accepted after revision 30 June 2005

Publication Date:
09 May 2006 (online)

Chronic ischemic gastritis is an unusual entity that is rarely distinguished from other forms of intestinal ischemia. On the basis of a case encountered and a subsequent review of the literature, the main features of this rare condition are described here. A better understanding and awareness of the disease should improve the diagnosis and ultimately also the prognosis.

References

  • 1 Haberer J, Trivedi N N, Kohlwes J, Tiernay L. A gut feeling.  N Engl J Med. 2003;  349 73-78
  • 2 Johnston K W, Lindsay T F, Walker P M, Kalman P G. Mesenteric arterial bypass grafts: early and late results and suggested surgical approach for chronic and acute mesenteric ischemia.  Surgery. 1995;  118 1-7
  • 3 Babu S C, Shah P M. Celiac territory ischemic syndrome in visceral artery occlusion.  Am J Surg. 1993;  166 227-230
  • 4 McAfee M K, Cherry K J, Naessens J M. et al . Influence of complete revascularization on chronic mesenteric ischemia.  Am J Surg. 1992;  164 220-224
  • 5 Trowell J E, Bell G D. Biopsy specimen appearances of ischaemic gastritis in splanchnic arterial insufficiency.  J Clin Pathol. 1998;  51 255-256
  • 6 Allende H D, Ona F V. Celiac artery and superior mesenteric artery insufficiency: unusual cause of erosive gastroduodenitis.  Gastroenterology. 1982;  82 763-766
  • 7 Force T, MacDonald D, Eade O E. et al . Ischemic gastritis and duodenitis.  Dig Dis Sci. 1980;  25 307-310
  • 8 Cherry R D, Jabbari M, Goresky C A. et al . Chronic mesenteric vascular insufficiency with gastric ulceration.  Gastroenterology. 1986;  91 1548-1552
  • 9 Hojgaard L, Krag E. Chronic ischemic gastritis reversed after revascularization operation.  Gastroenterology. 1987;  92 226-228
  • 10 Bouche O, Clement C, Le Louargant M. et al . A case of chronic ischemic erosive gastropathy healed after surgical revascularization; in French.  Gastroenterol Clin Biol. 1989;  13 94-97
  • 11 Liberski S M, Koch K L, Atnip R G, Stern R M. Ischemic gastroparesis: resolution after revascularization.  Gastroenterology. 1990;  99 252-257
  • 12 Casey K M, Quigley T M, Kozarek R A, Raker E J. Lethal nature of ischemic gastropathy.  Am J Surg. 1993;  165 646-649
  • 13 Moawad J, Gewertz B L. Chronic mesenteric ischemia.  Surg Clin North Am. 1997;  77 357-369
  • 14 Richieri J P, Pol B, Payan M J. Acute necrotizing ischemic gastritis: clinical, endoscopic and histopathologic aspects.  Gastrointest Endosc. 1998;  48 210-212
  • 15 Horton K M, Fishman E K. CT angiography of the GI tract.  Gastrointest Endosc. 2002;  55 (Suppl) S37-S41
  • 16 Bradbury A W, Brittenden J, McBride K, Ruckley C V. Mesenteric ischaemia: a multidisciplinary approach.  Br J Surg. 1995;  82 1446-1459

J. BoyerM. D. 

Dept. of Gastroenterology

University Hospital · 4, rue Larrey · 49933 Angers Cedex 9 · France

Fax: +33-2-41354119

Email: jeboyer@chu-angers.fr

    >