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Titolo:
OCCLUSIVE AND NONOCCLUSIVE GASTROINTESTINAL ISCHEMIA - A CLINICAL REVIEW WITH SPECIAL EMPHASIS ON THE DIAGNOSTIC-VALUE OF TONOMETRY
Autore:
KOLKMAN JJ; GROENEVELD ABJ;
Indirizzi:
MED SPECTRUM TWENTE,DEPT GASTROENTEROL,POB 50-000 NL-7500 KA ENSCHEDENETHERLANDS FREE UNIV AMSTERDAM,MED INTENS CARE UNIT AMSTERDAM NETHERLANDS
Titolo Testata:
Scandinavian journal of gastroenterology
, volume: 33, anno: 1998, supplemento:, 225
pagine: 3 - 12
SICI:
0036-5521(1998)33:<3:OANGI->2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
SUPERIOR MESENTERIC-ARTERY; GASTRIC INTRAMUCOSAL PH; MUCOSAL BLOOD-FLOW; SPLANCHNIC VENOUS THROMBOSIS; CHRONIC INTESTINAL ISCHEMIA; SYSTEMIC LUPUS-ERYTHEMATOSUS; ABDOMINAL AORTIC-ANEURYSM; LASER-DOPPLER FLOWMETRY; CRITICALLY ILL PATIENTS; INTRAMURAL PH;
Keywords:
CARBON DIOXIDE; DIAGNOSTIC METHODS; SPLANCHNIC ISCHEMIA; SPLANCHNIC PERFUSION; TONOMETRY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
161
Recensione:
Indirizzi per estratti:
Citazione:
J.J. Kolkman e A.B.J. Groeneveld, "OCCLUSIVE AND NONOCCLUSIVE GASTROINTESTINAL ISCHEMIA - A CLINICAL REVIEW WITH SPECIAL EMPHASIS ON THE DIAGNOSTIC-VALUE OF TONOMETRY", Scandinavian journal of gastroenterology, 33, 1998, pp. 3-12

Abstract

Background: To review clinical features of the occlusive splanchnic ischaemia syndromes with special emphasis on the diagnostic value of tonometry. Methods: The English literature was reviewed with an emphasison papers concerning anatomy and physiology of splanchnic perfusion, the clinical presentation and diagnostic procedures in occlusive splanchnic ischaemia syndromes. Results: Splanchnic ischaemia can result from hypovolaemic states, resulting in splanchnic vasoconstriction and ischaemia with normal splanchnic vessels (non-occlusive ischaemia) or from vascular stenoses (occlusive ischaemia). The former is frequently encountered in critically ill patients, whereas the latter is considered rare, despite a relatively high incidence of splanchnic atherosclerosis. The main problem hindering assessment of the incidence of symptomatic chronic splanchnic ischaemia is the lack of a diagnostic procedure separating symptom-free from symptomatic splanchnic atherosclerosis. Although angiography provides precise anatomical information, the correlation with symptoms is poor. From various studies it emerges that tonometry of luminal PCO2 enables assessment of ischaemia. Conclusions: Splanchnic ischaemia may be more common than currently assumed; but a gold standard diagnostic tool is lacking. Tonometry of the gastric PCO2 may be the most promising technique for detecting and grading splanchnic ischaemia.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/03/20 alle ore 09:42:38