Document Detail


Clinical significance of splanchnic artery stenosis.
MedLine Citation:
PMID:  17022013     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The clinical relevance of splanchnic artery stenosis is often unclear. Gastric exercise tonometry enables the identification of patients with actual gastrointestinal ischaemia. A large group of patients with splanchnic artery stenosis was studied using standard investigations, including tonometry. METHODS: Patients referred with possible intestinal ischaemia were analysed prospectively, using duplex imaging, conventional abdominal angiography and tonometry. All results were discussed within a multidisciplinary team. RESULTS: Splanchnic stenoses were found in 157 (49.7 percent) of 316 patients; 95 patients (60.5 percent) had one-vessel, 54 (34.4 percent) two-vessel and eight (5.1 percent) had three-vessel disease. Chronic splanchnic syndrome was diagnosed in 107 patients (68.2 percent), 54 (57 percent) with single-vessel, 45 (83 percent) with two-vessel and all eight with three-vessel stenoses. Treatment was undertaken in 95 patients, 62 by surgery and 33 by endovascular techniques. After a median follow-up of 43 months, 84 percent of patients were symptom free. CONCLUSION: Gastric exercise tonometry proved crucial in the evaluation of possible intestinal ischaemia. Comparing patients with single- and multiple-vessel stenoses, there were significant differences in clinical presentation and mortality rates.
Authors:
P B F Mensink; A S van Petersen; R H Geelkerken; J A Otte; A B Huisman; J J Kolkman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  93     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-30     Completed Date:  2006-12-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  1377-82     Citation Subset:  AIM; IM    
Affiliation:
Department of Internal Medicine and Gastroenterology, Medisch Spectrum Twente, Enschede, The Netherlands. pbfmensink@wanadoo.nl
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Cohort Studies
Consensus
Constriction, Pathologic
Female
Humans
Intestines / blood supply
Ischemia / diagnosis*,  physiopathology,  surgery
Male
Manometry
Mesenteric Vascular Occlusion / diagnosis*,  physiopathology,  surgery
Middle Aged
Prospective Studies
Splanchnic Circulation / physiology*
Ultrasonography, Doppler

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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