Chronic visceral ischemia.

The clinical syndrome of chronic intestinal ischemia has been examined through its evolution over the past century. Particular attention has been paid to the past 40 years and the contributions made by Dr Charles Rob. Although various diagnostic strategies have been introduced, the cornerstone of diagnosis remains the biplanar aortogram. Improvement in non-invasive imaging may allow us to understand the natural history of the disease via surveillance screening programs. Modern treatment, resulting in successful and durable reconstruction, consists of either anterograde bypass or transaortic endarterectomy. The future holds promise for the young investigator interested in solving the questions that persist concerning this unique vascular bed.