BACKGROUND: The clinical relevance of splanchnic artery stenosis is often unclear. Gastric exercise tonometry enables the identification of patients with actual gastrointestinal ischaemia. A large group of patients with splanchnic artery stenosis was studied using standard investigations, including tonometry. METHODS: Patients referred with possible intestinal ischaemia were analysed prospectively, using duplex imaging, conventional abdominal angiography and tonometry. All results were discussed within a multidisciplinary team. RESULTS: Splanchnic stenoses were found in 157 (49.7 percent) of 316 patients; 95 patients (60.5 percent) had one-vessel, 54 (34.4 percent) two-vessel and eight (5.1 percent) had three-vessel disease. Chronic splanchnic syndrome was diagnosed in 107 patients (68.2 percent), 54 (57 percent) with single-vessel, 45 (83 percent) with two-vessel and all eight with three-vessel stenoses. Treatment was undertaken in 95 patients, 62 by surgery and 33 by endovascular techniques. After a median follow-up of 43 months, 84 percent of patients were symptom free. CONCLUSION: Gastric exercise tonometry proved crucial in the evaluation of possible intestinal ischaemia. Comparing patients with single- and multiple-vessel stenoses, there were significant differences in clinical presentation and mortality rates.
BACKGROUND: The clinical relevance of splanchnic artery stenosis is often unclear. Gastric exercise tonometry enables the identification of patients with actual gastrointestinal ischaemia. A large group of patients with splanchnic artery stenosis was studied using standard investigations, including tonometry. METHODS:Patients referred with possible intestinal ischaemia were analysed prospectively, using duplex imaging, conventional abdominal angiography and tonometry. All results were discussed within a multidisciplinary team. RESULTS:Splanchnic stenoses were found in 157 (49.7 percent) of 316 patients; 95 patients (60.5 percent) had one-vessel, 54 (34.4 percent) two-vessel and eight (5.1 percent) had three-vessel disease. Chronic splanchnic syndrome was diagnosed in 107 patients (68.2 percent), 54 (57 percent) with single-vessel, 45 (83 percent) with two-vessel and all eight with three-vessel stenoses. Treatment was undertaken in 95 patients, 62 by surgery and 33 by endovascular techniques. After a median follow-up of 43 months, 84 percent of patients were symptom free. CONCLUSION: Gastric exercise tonometry proved crucial in the evaluation of possible intestinal ischaemia. Comparing patients with single- and multiple-vessel stenoses, there were significant differences in clinical presentation and mortality rates.
Authors: Désirée van Noord; Peter B Mensink; Pieter C Ter Borg; Peter M Pattynama; Hence J Verhagen; Ernst J Kuipers Journal: BMJ Case Rep Date: 2009-03-05
Authors: Jihan Harki; Aria Sana; Désirée van Noord; Paul J van Diest; Petra van der Groep; Ernst J Kuipers; Leon M G Moons; Katharina Biermann; Eric T T L Tjwa Journal: Virchows Arch Date: 2014-11-26 Impact factor: 4.064
Authors: F Cademartiri; A Palumbo; E Maffei; C Martini; R Malagò; M Belgrano; L La Grutta; T V Bartolotta; G Luccichenti; M Midiri; R Raaijmakers; N Mollet; M Zompatori; G Crisi Journal: Radiol Med Date: 2008-10-29 Impact factor: 3.469
Authors: R W F ter Steege; H S Sloterdijk; R H Geelkerken; A B Huisman; J van der Palen; J J Kolkman Journal: World J Surg Date: 2012-04 Impact factor: 3.352
Authors: Peter B F Mensink; Robert H Geelkerken; Ad B Huisman; Ernst J Kuipers; Jeroen J Kolkman Journal: Dig Dis Sci Date: 2007-05-26 Impact factor: 3.199