Observations on the Diagnosis And Treatment of Obliterative Disease of the Visceral Branches Of the Abdominal Aorta

Arch Surg. 1965;90(4):596-606. doi:10.1001/archsurg.1965.01320100140021.
Text Size: A A A
Published online

AS THE surgical approach to mesenteric vascular disease has become more sophisticated, the investigation of symptoms and signs of bowel ischemia, or even of unexplained abdominal pain, has become more complete. The mesenteric circulation may now be studied in man either selectively or by abdominal aortography; these examinations are now accepted diagnostic procedures in such problems. By the selective technique, an elegance of definition of the small branches is attained which aortography rarely affords (Fig 1); but in the presence of total luminal occlusion, the selective method is not applicable.

Our experience with mesenteric vascular disease has emphasized both the difficulties in diagnosis and management, and the gratifying results of appropriate therapy. It is the purpose of this paper to indicate the role of collateral pathways in intestinal ischemia, some of the pitfalls in its recognition, and the potential for cure.

I. The Role of Collateral Pathways in Intestinal Ischemia 


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.