| Chronic splanchnic ischaemia: is tonometry a useful test? | |
| | |
MedLine Citation:
|
PMID: 9076438 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To find out if gastric tonometry is of sufficient accuracy to diagnose chronic splanchnic syndrome. DESIGN: Prospective open study. SETTING: University hospital, The Netherlands. SUBJECTS: 10 patients in whom chronic splanchnic syndrome had been suspected, and in 5 of whom it was subsequently confirmed. INTERVENTION: Standardised measurement of intramucosal gastric pH (tonometry) and multiplane angiography of the abdominal aorta and splanchnic arteries. MAIN OUTCOME MEASURE: Correlation between intramucosal gastric pH and angiographic and clinical findings. RESULTS: The mean basal pH preoperatively was 7.48 among 5 patients subsequently found to have splanchnic syndrome (group 1) and 7.41 among the 5 who did not (group 2). Those in group 1 all had extensive three vessel disease with stenoses of 70% or more in at least two of the three splanchnic arteries. The 5 patients in group 2 had no clinically important stenoses in either the coeliac or the superior mesenteric artery; 4 had occlusions of the inferior mesenteric artery. CONCLUSION: Gastric tonometry is of no use in the diagnosis of chronic splanchnic syndrome. |
| | |
Authors:
|
R H Geelkerken; L J Schultze Kool; J Hermans; M T Zarza; J H van Bockel |
Related Documents
:
|
20166548 - The pattern of the arterial supply of the pancreas in anthropoid apes, catarrhine monke... 20065548 - Incidence and management of arterial anomalies in patients undergoing pancreaticoduoden... 2297478 - Traumatic superior mesenteric artery--portal vein fistula. 15951348 - Correlation between mrna levels and functional role of alpha1-adrenoceptor subtypes in ... 12368738 - Composite sequential grafts for femorocrural bypass reconstruction: experience with a m... 11425988 - Portal venous stent placement in patients with pancreatic and biliary neoplasms invadin... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: The European journal of surgery = Acta chirurgica Volume: 163 ISSN: 1102-4151 ISO Abbreviation: Eur J Surg Publication Date: 1997 Feb |
Date Detail:
|
Created Date: 1997-05-22 Completed Date: 1997-05-22 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 9105264 Medline TA: Eur J Surg Country: NORWAY |
Other Details:
|
Languages: eng Pagination: 115-21 Citation Subset: IM |
Affiliation:
|
Department of Surgery, University Hospital Leiden, The Netherlands. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Angiography Evaluation Studies as Topic Female Gastric Mucosa / chemistry Humans Hydrogen-Ion Concentration Ischemia / diagnosis* Male Manometry Middle Aged Prospective Studies Splanchnic Circulation* |
| Comments/Corrections | |
Comment In:
|
Eur J Surg. 1997 Dec;163(12):945-6
[PMID:
9449449
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Repair of large, multiple, and recurrent ventral hernias: an analysis of 124 cases.
Next Document: White blood cell count, leucocyte elastase activity, and serum concentrations of interleukin-6 and C...