ArticleDigestive diseases and sciences2017
Clinical Features and Outcomes of Gastric Ischemia.
Article in Digestive diseases and sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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35 citing papers in PubMed, 77 citations in OpenAlex.
- Ischemic Gastroduodenitis: Navigating the Challenges of Enteral Nutrition Resumption.ACG case reports journal · 2026Article
- Successful endoscopic vacuum therapy in diffuse gastric hemorrhage secondary to acute ischemia: a case report.iGIE : innovation, investigation and insights · 2026Article
- Gastric Ischemia Secondary to Atherosclerotic Disease: A Case Report and Literature Review.Cureus · 2026Article
- A rare presentation of gastric ischemia manifesting as gastric pneumatosis in the context of amphetamine use.Journal of surgical case reports · 2026Article
- A Rare Case of Acute Idiopathic Gastric Necrosis.Cureus · 2025Article
- The Coexistence of Median Arcuate Ligament Syndrome and Gastric Cancer.ACG case reports journal · 2025Article
- Rare Etiologies of Upper Gastrointestinal Bleeding: A Narrative Review.Journal of clinical medicine · 2025Review
- Gastric ischemia as an under-reported cause of death in older people.Forensic science, medicine, and pathology · 2025Article
- Epigastric anterior abdominal wall hernia: An unusual cause of gastric outlet obstruction.Radiology case reports · 2024Article
- Article
- Chronic Ischemic Gastritis in a Patient With a History of Cancer and Atherosclerotic Disease.ACG case reports journal · 2024Article
- Article
- Gastric Ischemia after SARS-CoV-2 Infection.Life (Basel, Switzerland) · 2023Article
- Large gastric ulcer presenting as gastric pneumatosis.BMJ case reports · 2023Article
- Article
- Total pancreatectomy preserving the right gastroepiploic artery following proximal gastrectomy.International cancer conference journal · 2023Article
- Severe ischemic gastritis caused by chronic mesenteric ischemia.Jornal vascular brasileiro · 2023Article
- Ischemic gastropathy with "leopard skin" stomach.Proceedings (Baylor University. Medical Center) · 2023Article
- Prognostic factors of poor postoperative outcomes in gastrectomies.Frontiers in surgery · 2023Article
- Gastric Ischemia Diagnosed by Contrast-enhanced Computed Tomography.Internal medicine (Tokyo, Japan) · 2022Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsGastric ischemia is a rare condition associated with poor prognosis. Our study aim was to highlight the clinical features and outcomes of patients with gastric ischemia.
methodsA retrospective review of patients diagnosed with isolated gastric ischemia at our institution from January 1, 2000, to May 5, 2016, was performed. Demographic, clinical, endoscopic, radiologic, and outcome variables were abstracted for analysis.
resultsSeventeen patients (65% men) with mean age of 69.3 ± 11.3 years and body mass index of 28.8 ± 11.1 were identified. The etiologies for gastric ischemia included local vascular causes (n = 8), systemic hypoperfusion (n = 4), and mechanical obstruction (n = 5). The most common presenting symptoms were abdominal pain (65%), gastrointestinal bleeding (47%), and altered mental status (23%). The typical endoscopic appearance was mucosal congestion and erythema with or without ulceration. Gastric pneumatosis and portal venous air were more commonly seen on CT imaging. Radiologic and/or surgical intervention was needed in 9 patients, while the remaining 8 patients were managed conservatively with acid suppression, antibiotics, and nasogastric tube decompression. The median duration of hospital stay was 15 days (range 1-36 days). There were no cases of rebleeding and the mortality rate as a direct result of gastric ischemia was 24% within 6 months of diagnosis.
conclusionAlthough uncommon, gastric ischemia is associated with significant mortality. Endoscopy and CT imaging play an important role in its diagnosis. The management of gastric ischemia is dictated by its severity and associated comorbidities.
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