| Clinical significance of splanchnic artery stenosis. | |
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MedLine Citation:
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PMID: 17022013 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article |
Journal Detail:
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Title: The British journal of surgery Volume: 93 ISSN: 0007-1323 ISO Abbreviation: Br J Surg Publication Date: 2006 Nov |
Date Detail:
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Created Date: 2006-10-30 Completed Date: 2006-12-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: England |
Other Details:
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Languages: eng Pagination: 1377-82 Citation Subset: AIM; IM |
Affiliation:
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Department of Internal Medicine and Gastroenterology, Medisch Spectrum Twente, Enschede, The Netherlands. pbfmensink@wanadoo.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 |
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