Abdominal Angina

被引：28
作者：
Biolato, Marco [1 ]
Miele, Luca [1 ]
Gasbarrini, Giovanni [1 ]
Grieco, Antonio [1 ]
机构：
[1] Univ Cattolica Sacro Cuore, Inst Internal Med, Dept Internal Med, I-00168 Rome, Italy
来源：
AMERICAN JOURNAL OF THE MEDICAL SCIENCES | 2009年 / 338卷 / 05期
关键词：
Chronic mesenteric ischemia; Abdominal angina; Intestinal angina; Abdominal pain; Doppler ultrasound; CHRONIC MESENTERIC ISCHEMIA; SPLANCHNIC ARTERY-STENOSIS; ENHANCED MR-ANGIOGRAPHY; CHRONIC GASTROINTESTINAL ISCHEMIA; CHRONIC INTESTINAL ISCHEMIA; DUPLEX ULTRASOUND; DOPPLER SONOGRAPHY; CT ANGIOGRAPHY; HEALTHY-VOLUNTEERS; VISCERAL ARTERIES;
D O I：
10.1097/MAJ.0b013e3181a85c3b
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Abdominal angina is air underrecognized cause of postprandial abdominal pain and weight loss. Diagnosis is often delayed and requires both a careful exclusion of more common causes and a high degree of clinical suspicion, based on the patient's age, the coexistence of multiple risk factors for atherosclerosis, and the presence of vasculopathy in other districts. Appropriate investigations include duplex ultrasound, traditional angiography, magnetic resonance angiography, computed tomography angiography, and tonometry. The purpose of this review is to discuss the pathophysiology and clinical presentation of chronic mesenteric ischemia and to suggest a diagnostic flowchart for this complex condition.
引用
收藏
页码：389 / 395
页数：7
相关论文
共 74 条
[1]   CELIAC TERRITORY ISCHEMIC SYNDROME IN VISCERAL ARTERY-OCCLUSION [J].
BABU, SC ;
SHAH, PM .
AMERICAN JOURNAL OF SURGERY, 1993, 166 (02) :227-230
[2]  
BAKER JD, 1966, SURGERY, V59, P88
[3]  
Balduf Lisa M, 2002, Vasc Endovascular Surg, V36, P439, DOI 10.1177/153857440203600604
[4]   Celiac artery compression syndromes [J].
Bech, FR .
SURGICAL CLINICS OF NORTH AMERICA, 1997, 77 (02) :409-+
[5]   DUPLEX ULTRASONOGRAPHY IN THE DIAGNOSIS OF CELIAC AND MESENTERIC-ARTERY OCCLUSIVE DISEASE [J].
BOWERSOX, JC ;
ZWOLAK, RM ;
WALSH, DB ;
SCHNEIDER, JR ;
MUSSON, A ;
LABOMBARD, FE ;
CRONENWETT, JL .
JOURNAL OF VASCULAR SURGERY, 1991, 14 (06) :780-788
[6]  
Brandt L J., 2002, Gastrointestinal and Liver Disease Pathophysiology, Diagnosis and Management, P2321
[7]   AGA technical review on intestinal ischemia [J].
Brandt, LJ ;
Boley, SJ .
GASTROENTEROLOGY, 2000, 118 (05) :954-968
[8]   SPLANCHNIC ARTERY STENOSIS AND OCCLUSION - INCIDENCE ARTERIOGRAPHIC AND CLINICAL MANIFESTATIONS [J].
BRON, KM ;
REDMAN, HC .
RADIOLOGY, 1969, 92 (02) :323-+
[9]   MR MEASUREMENTS OF MESENTERIC VENOUS FLOW - PROSPECTIVE EVALUATION IN HEALTHY-VOLUNTEERS AND PATIENTS WITH SUSPECTED CHRONIC MESENTERIC ISCHEMIA [J].
BURKART, DJ ;
JOHNSON, CD ;
READING, CC ;
EHMAN, RL .
RADIOLOGY, 1995, 194 (03) :801-806
[10]   Interobserver variability in the evaluation of chronic mesenteric ischemia with gadolinium-enhanced MR angiography [J].
Carlos, RC ;
Stanley, JC ;
Stafford-Johnson, D ;
Prince, MR .
ACADEMIC RADIOLOGY, 2001, 8 (09) :879-887
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