Clinical significance of splanchnic artery stenosis
Abstract
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 per cent) of 316 patients; 95 patients (60·5 per cent) had one-vessel, 54 (34·4 per cent) two-vessel and eight (5·1 per cent) had three-vessel disease. Chronic splanchnic syndrome was diagnosed in 107 patients (68·2 per cent), 54 (57 per cent) with single-vessel, 45 (83 per cent) 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 per cent 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.
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Patients may develop symptoms even with single vessel involvement.
“But patients may develop symptoms even with single vessel involvement[35] and many patients with two vessel disease may remain asymptomatic for many years because of extensive collaterals in the mesenteric circulation[36].”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [35]
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- Authors
- Mensink, P. B. F., van Petersen, A. S., Geelkerken, R. H., Otte, J. A., Huisman, A. B., & Kolkman, J. J.
- Affiliations
- Medisch Spectrum Twente (NL)
- Department of Vascular Surgery, Medisch Spectrum Twente, Enschede, The Netherlands
- Corresponding author
- Mensink, P B F
- Venue
- British Journal of Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-10-04
- Volume
- 93
- Issue
- 11
- Pages
- 1377-1382
- ISSN
- 0007-1323 (ISSN-L)
- 1365-2168
- OpenAlex
- W2078505457
- Cited by
- 107
- References
- 27
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 6 · 2022: 5 · 2021: 9 · 2020: 6 · 2019: 6 · 2018: 6 · 2017: 9 · 2016: 5 · 2015: 4 · 2014: 7 · 2013: 2 · 2012: 7
- FWCI
- 5.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- British journal of surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal and Vascular Pathologies
- Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
- Keywords
- intestinal ischemia, duplex ultrasound, abdominal angiography, endovascular treatment, surgical revascularization, mortality, clinical features
- MeSH terms
- Adolescent, Adult, Aged, Constriction, Pathologic, Female, Humans, Intestines, Ischemia, Male, Manometry, Mesenteric Vascular Occlusion, Middle Aged, Prospective Studies, Splanchnic Circulation, Cohort Studies, Ultrasonography, Doppler, Consensus
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