Severe Erosive Ischemic Gastritis Healed After Surgical Revascularization

Abstract 

Gastritis secondary to splanchnic arterial insufficiency is rare. The diagnosis should be suspected in case of gastritis associated with occlusion of celiac axis and superior mesenteric artery. We report a patient with severe ischemic gastritis who completely healed after surgical reno-hepatic bypass. This retrograde revascularization avoids aortic clamping and was well tolerated. Ischemic gastritis belongs to the celiac-territory ischemic syndrome and cholecystectomy should be added to the revascularization to prevent post-operative acute ischemic cholecystitis.

Keywords: Mesenteric ischemia, Intestinal ischemia treatment, Surgical revascularization, Acute gastritis, Acute cholecystitis