Gastric exercise tonometry: The key investigation in patients with suspected celiac artery compression syndrome
Open accessAbstract
Introduction Controversy continues about the mere existence of the celiac artery compression syndrome. Earlier results of treatment of unselected patients groups showed varying, mostly disappointing, results. The recently introduced gastric exercise tonometry test is able to identify patients with actual gastrointestinal ischemia. We prospectively studied the use of gastric exercise tonometry as a key criterion for revascularization treatment in patients with otherwise unexplained abdominal complaints and significant stenosis of the celiac artery by compression of the arcuate ligament. Methods Patients were prospectively selected using abdominal artery angiography and gastric exercise tonometry. Patients with a significant compression of the celiac artery, typical abdominal complaints, and abnormal tonometry were considered for revascularization. Results Over a 7-year period, 43 patients with significant celiac artery compression were included in this study, and 30 patients were diagnosed as ischemic. Twenty-nine patients had revascularization, 22 (76 %) had a trunk release only. After a median follow-up of 39 months, 83% of patients were free of symptoms. The repeated tonometry after treatment improved in 100% of patients free of symptoms, compared with 25% in patients with persistent complaints after revascularization. Conclusions The results of this study suggest that the celiac axis compression syndrome exists and that the actual ischemia can be detected by gastric exercise tonometry and treated safely, with success.
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In two prospective cohort studies, normalisation of VLS or tonometry after CA release was associated with a long term benefit in 80-92% of cases.
“In two prospective cohort studies, normalisation of VLS or tonometry after CA release was associated with a long term benefit in 80 e 92% of cases.”
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- Authors
- Mensink, P. B. F., van Petersen, A. S., Kolkman, J. J., Otte, J. A., Huisman, A. B., & Geelkerken, R. H.
- Affiliations
- Medisch Spectrum Twente (NL)
- Venue
- Journal of Vascular Surgery
- Publisher
- Elsevier BV
- Published
- 2006-08
- Volume
- 44
- Issue
- 2
- Pages
- 277-281
- ISSN
- 0741-5214 (ISSN-L)
- OpenAlex
- W2016521100
- Cited by
- 143
- References
- 2
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 4 · 2023: 4 · 2022: 7 · 2021: 6 · 2020: 10 · 2019: 8 · 2018: 5 · 2017: 12 · 2016: 7 · 2015: 4 · 2014: 6 · 2013: 8 · 2012: 12
- FWCI
- 8.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Vascular Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Surgery › Vascular anomalies and interventions
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal and Vascular Pathologies
- Keywords
- celiac artery compression, celiac artery stenosis, gastrointestinal ischemia, revascularization
- MeSH terms
- Adolescent, Adult, Aged, Celiac Artery, Constriction, Pathologic, Decision Trees, Exercise Test, Female, Humans, Ischemia, Male, Manometry, Middle Aged, Predictive Value of Tests, Prospective Studies, Splanchnic Circulation, Vascular Surgical Procedures, Angiography, Digital Subtraction, Treatment Outcome, Practice Guidelines as Topic, Gastrointestinal Tract
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