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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Evidence Of SMA Syndrome As Part Of The Chronic Ischemic Picture After SMA Arteries Ligated. Recommendations?

I am a patient (51 yrs old) who has chronic ischemia to my small intestine after having had my celiac and sma arteries ligated and patch angioplasty . Currently, there is evidence of SMA syndrome as part of the ischemic picture. I have no other things going on... just an ischemic belly...a hard thing to just live with. Only palliative measures fall w/in my primary care physician s scope. My family wants me to pursue assesment at a center where experience base with this rare presentation is greater than in West Michigan where we live. Question is: would that effort be worth it and what center would offer the most benefit?
Sat, 23 Nov 2013
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Internal Medicine Specialist,  's  Response
Hi there,

Thanks for your query.

From the information provided, I personally feel that you need further investigations to rule out/confirm underlying co-existing hematological conditions, such as, Sickle Cell disease, Thalassemia, hereditary spherocytosis and some other conditions, which are known to cause recurrent ischemia of mesenteric arteries.

To start with, get your Hemoglobin level and Peripheral Blood Picture done to identify some of these hematological conditions.

Consult your doctor and apprise him of my opinion. I am certain that he agree with me, order required tests, and- based on the reports- will prescribe suitable treatment as advised.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE all doctors- engaged in social service- to render sound advice to the FREE queries.

Fond regards and have a nice day

Dr. Rakesh Karanwal
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Evidence Of SMA Syndrome As Part Of The Chronic Ischemic Picture After SMA Arteries Ligated. Recommendations?

Hi there, Thanks for your query. From the information provided, I personally feel that you need further investigations to rule out/confirm underlying co-existing hematological conditions, such as, Sickle Cell disease, Thalassemia, hereditary spherocytosis and some other conditions, which are known to cause recurrent ischemia of mesenteric arteries. To start with, get your Hemoglobin level and Peripheral Blood Picture done to identify some of these hematological conditions. Consult your doctor and apprise him of my opinion. I am certain that he agree with me, order required tests, and- based on the reports- will prescribe suitable treatment as advised. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice day Dr. Rakesh Karanwal