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
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
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