Ed Langevin, a retired grandfather, enjoyed a simple life filled with family and faith. His routine changed drastically in February 2024 when seemingly innocuous heartburn transformed into a debilitating condition. What began as post-meal discomfort escalated rapidly; even a bite of his favorite sandwich left him feeling full and nauseous. This persistent symptom, coupled with a significant 20-pound weight loss over three months, sent alarm bells ringing.
Initially, his primary care physician conducted various tests, exploring possibilities like liver and pancreatic issues. However, it wasn't until May 2024 that a stomach scan revealed the underlying cause: mesenteric ischemia, a rare condition affecting blood flow to the small intestine. The diagnosis was shocking, and online research only amplified Langevin's anxiety, painting a grim picture of his prognosis. Fortunately, a specialist provided much-needed reassurance and a path to recovery.
Mesenteric ischemia, as explained by the Mayo Clinic, occurs when narrowed or blocked arteries restrict blood flow to the small intestine. This can manifest as acute ischemia (sudden onset, often due to blood clots) or chronic ischemia (gradual onset, typically linked to arterial plaque buildup). Langevin's case was chronic, progressing to a critical stage. Dr. Gabriel Wallace, director of vascular surgery at the Bluhm Cardiovascular Institute, described Langevin's condition as "pretty extreme," highlighting the significant distress experienced by many patients before diagnosis – profound pain, inability to eat, malnutrition, and significant psychological impact.
The good news is that mesenteric ischemia is treatable. Dr. Wallace performed a minimally invasive procedure, inserting a stent into Langevin's superior mesenteric artery to restore normal blood flow. The procedure's success was remarkable; Langevin returned home the same day, and within two weeks, he could comfortably enjoy a full sub sandwich. For almost a year, he remained symptom-free, but in March 2025, bloating and discomfort returned. A follow-up scan revealed scarring from the initial surgery was compressing the stent. A second procedure successfully extended the stent, and Langevin is now under ongoing care to manage his condition.
Today, Langevin is thriving. He's regained his weight, re-embraced his favorite foods, and is happily spending time with his grandchildren. He and his wife are even planning a trip to Rome. His journey underscores the importance of persistent advocacy for one's health. Langevin's powerful message: "Just don't give up. If you find a doctor that's given up on you, find another one, but just don't give up."
---
Originally published at: https://www.cbsnews.com/news/mesenteric-ischemia-chronic-northwestern-university-health/
