Patient presents with classic symptoms of chronic mesenteric ischemia, including postprandial abdominal pain, food aversion, and weight loss.  The patient reports experiencing abdominal cramping and pain approximately 15-30 minutes after eating, often described as a "fear of food" or sitophobia.  Physical examination revealed a soft abdomen with mild tenderness on palpation but no palpable masses.  Auscultation revealed a bruit in the epigastric region.  Duplex ultrasound of the mesenteric arteries demonstrated significant stenosis of the celiac artery and superior mesenteric artery, estimated at 70% and 60% respectively.  Angiography confirmed the presence of mesenteric artery stenosis, meeting diagnostic criteria for chronic mesenteric ischemia.  Differential diagnosis included irritable bowel syndrome, peptic ulcer disease, and small bowel obstruction.  These were ruled out based on clinical presentation, imaging findings, and laboratory results.  The patient's medical history includes hypertension, hyperlipidemia, and a history of smoking.  These risk factors contribute to the development of atherosclerotic disease, the likely etiology of the mesenteric artery stenosis.  Treatment options, including angioplasty, stenting, and bypass surgery, were discussed with the patient.  The risks and benefits of each procedure were explained, and the patient elected to proceed with endovascular intervention.  A follow-up appointment was scheduled to monitor symptom resolution and assess for any complications.  ICD-10 code I77.1, chronic mesenteric ischemia, was assigned.  CPT codes for the diagnostic and interventional procedures will be documented upon completion.