| Ultrasound imaging in diagnosis of superior mesenteric artery syndrome. | |
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MedLine Citation:
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PMID: 15788004 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: We screened a cohort of subjects affected by various degree of dyspepsia to reveal if they presented a reduction of the aorto-mesenteric angle and to diagnose suspected cases of superior mesenteric artery (SMA) syndrome. DESIGN: Controlled, prospective, study. SETTING: Subjects were studied as outpatients. SUBJECTS: The study investigated a total of 3622 subjects referred to our department by their general practitioners for dyspepsia and/or abdominal pain. Interventions. Abdominal ultrasonography with power colour Doppler, gastroduodenoscopy, hypotonic duodenography, contrast-enhanced spiral computerized tomography were performed. MAIN OUTCOME MEASUREMENT AND RESULTS: Color Doppler revealed a significant reduction of the SMA angle in 29 of 950 subjects; gastroscopy showed duodenal compressive pulsation in 14 of 29 patients and X-ray revealed compression of the third segment of the duodenum in 28 of 29 patients. CT confirmed the presence of a reduced angle and various degrees of duodenal compression in all patients. Ultrasonography and CT examinations gave overlapping results (P > 0.05) in diagnosing pathological aorto-mesenteric angle. CONCLUSION: The authors believe that the incidence of reduced aorto-mesenteric angle and SMA syndrome might be underrated. Ultrasound power colour Doppler imaging is useful in epidemiological screening of reduced aorto-mesenteric angle to diagnose suspected cases of SMA syndrome. |
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Authors:
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S Neri; S S Signorelli; E Mondati; D Pulvirenti; E Campanile; L Di Pino; M Scuderi; N Giustolisi; P Di Prima; B Mauceri; G Abate; D Cilio; M Misseri; R Scuderi |
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Publication Detail:
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Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of internal medicine Volume: 257 ISSN: 0954-6820 ISO Abbreviation: J. Intern. Med. Publication Date: 2005 Apr |
Date Detail:
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Created Date: 2005-03-24 Completed Date: 2005-05-05 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8904841 Medline TA: J Intern Med Country: England |
Other Details:
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Languages: eng Pagination: 346-51 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine and Systemic Diseases, University of Catania, Catania, Italy. sergio.neri4@tin.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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ultrasonography Adult Aorta / pathology, ultrasonography Dyspepsia / ultrasonography Female Gastroscopy Humans Male Mesenteric Artery, Superior / pathology, ultrasonography Posture Prospective Studies Superior Mesenteric Artery Syndrome / pathology, ultrasonography* Tomography, Spiral Computed Ultrasonography, Doppler, Color |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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