1. Ischemic Gastropathy Treated with Celiac Artery Revascularization
- Author
-
Neil Resnick, Jonathan Pinto, Alvaro Genao, Joan Culpepper-Morgan, and Jeff C. Anucha
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Ischemia ,ischemia ,030204 cardiovascular system & hematology ,Revascularization ,Gastroenterology ,03 medical and health sciences ,0302 clinical medicine ,Celiac artery ,Internal medicine ,medicine.artery ,Hyperlipidemia ,celiac artery stenosis ,medicine ,Internal Medicine ,Dialysis ,business.industry ,ir-guided stenting ,Stomach ,General Engineering ,Bleed ,medicine.disease ,medicine.anatomical_structure ,upper gi bleed ,business ,Radiology ,030217 neurology & neurosurgery ,stomach ,Kidney disease - Abstract
Ischemic gastropathy is an uncommon diagnosis due to extensive arterial collaterals that supply the stomach. The mucosal integrity of the stomach is dependent upon this redundant circulation. Hence, its diagnosis is infrequently entertained in patients presenting with an upper gastrointestinal (GI) bleed. Herein, we report a case of a 76-year-old woman with hypertension, hyperlipidemia, and chronic kidney disease on dialysis who developed an upper GI bleed after becoming septic and hypotensive.
- Published
- 2019