Mr Marston: Gastroenterologists have long suspected that certain obscure syndromes that they encounter may be the result of insufficient blood supply to the alimentary tract, and modern radiologic techniques have rendered the visceral arteries easily visible. At the same time, surgeons interested in peripheral vascular disease have been reconstructing these vessels, though the indications for such procedures have still to be defined. The relationship between radiologic abnormalities and symptoms is far from clear. The subject has been discussed at several international conferences and has been the field of much individual research. The purpose of this "Panel by Correspondence" is to air differing views of this difficult area, and to suggest guidelines for the future.
Question 1: Given all the diagnostic and technological advances achieved over the last generation, why have not our results in the treatment of acute mesenteric embolus and thrombosis correspondingly improved?
Prof Taylor: There has been some