Functional testing in the diagnosis of chronic mesenteric ischemia

Autor: Jeroen J. Kolkman, Désirée van Noord
Přispěvatelé: Gastroenterology & Hepatology
Rok vydání: 2017
Předmět:
medicine.medical_specialty
Visible light spectroscopy
Chronic splanchnic ischemia
Light
INTRAMURAL PH
Functional testing
Ischemia
CHRONIC GASTROINTESTINAL ISCHEMIA
Tonometry
03 medical and health sciences
0302 clinical medicine
TISSUE OXYGENATION
medicine
CHRONIC INTESTINAL ISCHEMIA
Humans
Medical history
In patient
030212 general & internal medicine
Chronic mesenteric ischemia
Mesenteric arteries
GASTRIC INTRAMUCOSAL PH
medicine.diagnostic_test
business.industry
Spectrum Analysis
Gastroenterology
HEMORRHAGIC-SHOCK
medicine.disease
Endoscopy
medicine.anatomical_structure
Mesenteric ischemia
REFLECTANCE SPECTROPHOTOMETRY
Anesthesia
Mesenteric Ischemia
SPLANCHNIC BLOOD-FLOW
Chronic Disease
030211 gastroenterology & hepatology
Radiology
Functional test
business
VISIBLE-LIGHT SPECTROSCOPY
HEALTHY-VOLUNTEERS
Zdroj: Best practice & research in clinical gastroenterology, 31(1), 59-68. ELSEVIER SCI LTD
Best Practice & Research in Clinical Gastroenterology, 31(1), 59-68. Bailliere Tindall Ltd
ISSN: 1521-6918
DOI: 10.1016/j.bpg.2016.12.002
Popis: Chronic mesenteric ischemia (CMI) results from insufficient oxygen delivery or utilization to meet metabolic demand. Two main mechanisms may lead to mesenteric ischemia: occlusion in the arteries or veins of the gastrointestinal tract, or reduced blood flow from shock states or increased intra-abdominal pressure, so-called non-occlusive mesenteric ischemia. Severe stenoses in the three main mesenteric vessels as demonstrated with CT-angiography or MR-angiography are sufficient to proof mesenteric ischemia, for example in patients who present with weight loss, postprandial pain and diarrhea. Still in many clinical situations mesenteric ischemia is only one of many possible explanations. Especially in patients with a single vessel stenosis in the celiac artery or superior mesenteric artery with postprandial pain, mesenteric ischemia remains a diagnosis of probability or assumption without functional proof of actual ischemia. This review is aimed to provide an overview of all past, present and future ways to functionally proof CMI. (C) 2016 Elsevier Ltd. All rights reserved.
Databáze: OpenAIRE
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