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.

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