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Visceral and mesenteric artery disease

When the arteries supplying the bowel narrow, eating becomes painful and weight falls away. It is often mistaken for something else for years.

Symptoms

  • Cramping abdominal pain 20 to 60 minutes after eating
  • Fear of eating, and marked unintentional weight loss
  • Nausea, diarrhoea or bloating
  • Sudden severe abdominal pain out of proportion to examination — an emergency

Treatment

Diagnosis uses duplex ultrasound and CT angiography. Most patients are treated by stenting the narrowed vessel; open bypass is used where stenting is unsuitable. Prof Sultan also performs coeliac sympathectomy for younger patients with median arcuate ligament syndrome.

Associations & Hospitals

Professional associations and hospitals Professor Sultan works with

Logos of the Western Vascular Institute, Galway Clinic, European Society for Vascular Surgery, International Society of Endovascular Specialists, Vascular and Endovascular Surgery Society, Royal College of Surgeons in Ireland, Saolta University Health Care Group, Society for Vascular Surgery, Galway University Hospitals, Vascular Society, and NUI Galway