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
[61]   Chronic mesenteric ischemia [J].
Sreenarasimhaiah, J .
BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY, 2005, 19 (02) :283-295
[62]   CHRONIC INTESTINAL ISCHEMIA - DIAGNOSIS AND THERAPY [J].
STANTON, PE ;
HOLLIER, PA ;
SEIDEL, TW ;
ROSENTHAL, D ;
CLARK, M ;
LAMIS, PA .
JOURNAL OF VASCULAR SURGERY, 1986, 4 (04) :338-344
[63]   Gadolinium-enhanced magnetic resonance angiography of the abdominal vessels [J].
Stehling, MK ;
Holzknecht, N ;
Laub, G .
RADIOLOGE, 1997, 37 (07) :539-546
[64]   Acute mesenteric ischemia diagnosis with contrast-enhanced CT [J].
Taourel, PG ;
Deneuville, M ;
Pradel, JA ;
Regent, D ;
Bruel, JM .
RADIOLOGY, 1996, 199 (03) :632-636
[65]  
Taylor L M Jr, 1995, Semin Vasc Surg, V8, P317
[66]   The clinical course of asymptomatic mesenteric arterial stenosis [J].
Thomas, JH ;
Blake, K ;
Pierce, GE ;
Hermreck, AS ;
Seigel, E .
JOURNAL OF VASCULAR SURGERY, 1998, 27 (05) :840-844
[67]  
VALENTINE RJ, 1991, J VASC SURG, V14, P195
[68]   Chronic splanchnic ischaemia [J].
van Bockel, JH ;
Geelkerken, RH ;
Wasser, MN .
BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY, 2001, 15 (01) :99-119
[69]   Contrast-enhanced MR angiography of abdominal vessels: Is there still a role for angiography? [J].
Vosshenrich, R ;
Fischer, U .
EUROPEAN RADIOLOGY, 2002, 12 (01) :218-230
[70]   EXTRARENAL FIBROMUSCULAR HYPERPLASIA [J].
WYLIE, EJ ;
BINKLEY, FM ;
PALUBINSKAS, AJ .
AMERICAN JOURNAL OF SURGERY, 1966, 112 (02) :149-+
12345678