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Titolo:
Chronic splanchnic ischaemia
Autore:
van Bockel, JH; Geelkerken, RH; Wasser, MN;
Indirizzi:
Leiden Univ, Med Ctr, Dept Vasc Surg, NL-2300 RC Leiden, Netherlands Leiden Univ Leiden Netherlands NL-2300 RC NL-2300 RC Leiden, Netherlands Med Spectrum Twente, Dept Vasc Surg, NL-7500 KA Enschede, Netherlands Med Spectrum Twente Enschede Netherlands NL-7500 KA nschede, Netherlands Leiden Univ, Med Ctr, Dept Radiol, NL-2300 RC Leiden, Netherlands Leiden Univ Leiden Netherlands NL-2300 RC NL-2300 RC Leiden, Netherlands
Titolo Testata:
BEST PRACTICE & RESEARCH IN CLINICAL GASTROENTEROLOGY
fascicolo: 1, volume: 15, anno: 2001,
pagine: 99 - 119
SICI:
1521-6918(200102)15:1<99:CSI>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHRONIC MESENTERIC ISCHEMIA; ARTERY COMPRESSION SYNDROME; CHRONIC VISCERAL ISCHEMIA; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; CHRONIC INTESTINAL ISCHEMIA; MR-IMAGING MEASUREMENTS; DUPLEX ULTRASOUND; HEALTHY-VOLUNTEERS; DOPPLER SONOGRAPHY; OCCLUSIVE DISEASE;
Keywords:
splanchnic; mesenteric arteries; coeliac artery; superior mesenteric artery; mesenteric vascular occlusion; angiography; tonometry; vascular patency; angioplasty;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
107
Recensione:
Indirizzi per estratti:
Indirizzo: van Bockel, JH Leiden Univ, Med Ctr, Dept Vasc Surg, POB 9600, NL-2300 RC Leiden, Netherlands Leiden Univ POB 9600 Leiden Netherlands NL-2300 RC erlands
Citazione:
J.H. van Bockel et al., "Chronic splanchnic ischaemia", BEST PR RES, 15(1), 2001, pp. 99-119

Abstract

Chronic splanchnic ischaemia is a relatively unusual clinical entity consisting of pain and/or weight loss and caused by chronic splanchnic disease (i.e. stenosis and/or occlusion of the coeliac and superior mesenteric artery). The occlusive disease is usually caused by atherosclerosis and is in itself not rare in older individuals. Extensive collateral circulation can develop between the three splanchnic arteries and may compensate for the decreased splanchnic perfusion over time. The pathophysiology of chronic splanchnic ischaemia has still not been completely elucidated. A reliable diagnosis of chronic splanchnic ischaemia, based on a proven causal relationship between the occlusive disease and the symptoms, can be very difficult. Traditionally, tests for evaluating the haemodynamic consequences of the vascular stenoses were not available. Important improvements inestablishing a more reliable diagnosis have been achieved with duplex ultrasound and magnetic resonance evaluation of the splanchnic circulation. Tonometry is another promising functional test that may prove useful not only for gaining greater insight into the pathophysiology of chronic splanchnic ischaemia but also for the clinical evaluation of this syndrome. The natural history of chronic splanchnic disease suggests that progressive disease may result in acute mesenteric ischaemia. Surgical reconstructionof the coeliac and/or the superior mesenteric artery is the therapeutic standard with excellent short and longterm results. Satisfactory early results using angioplasty with or without stent suggest that this type of intervention may relieve symptoms in selected patients with a higher surgical risk.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/02/20 alle ore 07:53:16