Splanchnic blood flow in patients with abdominal angina before and after arterial reconstruction: a proposal for a diagnostic test
Open accessAbstract
The diagnostic value of determining the splanchnic blood flow (SBF) and oxygen uptake before and after a test meal in patients suspected of abdominal angina was investigated in 15 patients with unexplained abdominal pain. Six patients with typical abdominal angina and occlusive lesions of two or three splanchnic arteries were investigated before and after successful arterial reconstruction. Five patients with less severe arterial lesions were classified as suspected of abdominal angina and four patients with eventual normal arteriography served as controls. No significant difference was found in fasting SBF between the three groups. Postprandial SBF rose in the controls and in the abdominal angina suspected group, but not in the patients with abdominal angina. After arterial reconstruction fasting SBF was higher than before and postprandial SBF rose to the level of the controls. No difference in oxygen uptake before or after test meal was seen in any of the groups or after arterial reconstruction.
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In patients with heart failure or cardiogenic shock, initiation of enteral nutrition may prompt mesenteric ischemia due to increased metabolic demand of the intestinal mucosa.
“In these scenarios, the initiation of EN may prompt mesenteric ischemia due to increased metabolic demand of the intestinal mucosa.152,153”
From Malnutrition and Cachexia in Inpatients With Acute Cardiac Conditions: A Scientific Statement From the American Heart Association (2026) · cites this paper as [152]
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BackgroundMethodResultInfluentialChronische intestinale Ischämie
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ResultManagement of Acute and Chronic Mesenteric Ischemia
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A Case of Stanford A Type Dissecting Aortic Aneurysm with Abdominal Angina.
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- Authors
- BUCHARDT HANSEN, H. J., ENGELL, H. C., RING-LARSEN, H., & RANEK, L.
- Venue
- Annals of Surgery
- Published
- 1977-08
- Volume
- 186
- Issue
- 2
- Pages
- 216-220
- ISSN
- 0003-4932 (ISSN-L)
- PMC
- PMC1396687
- OpenAlex
- W2061820687
- Cited by
- 55
- References
- 11
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2017: 2 · 2015: 1 · 2013: 2 · 2012: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annals of Surgery (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal and Vascular Pathologies
- Keywords
- splanchnic circulation, abdominal angina, arterial reconstruction, splanchnic artery occlusion, test meal, postprandial blood flow, oxygen consumption, diagnostic testing, unexplained abdominal pain
- MeSH terms
- Abdomen, Adult, Aged, Aortography, Female, Humans, Male, Mesenteric Arteries, Mesenteric Vascular Occlusion, Middle Aged, Oxygen Consumption, Pain, Regional Blood Flow
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