Mesenteric Duplex Scanning
Abstract
Duplex scanning of mesenteric arteries was developed in the late 1980s. It's primary clinical application is to identify high-grade stenoses in the superior mesenteric artery (SMA) and celiac artery that may be associated with the clinical condition of chronic mesenteric ischemia. A peak systolic velocity of >275 cm/s in the SMA identifies a >70% SMA stenosis with a sensitivity of 92%, a positive predictive value of 80% and a negative predictive value of 99%. A negative mesenteric duplex study therefore virtually excludes the presence of clinically important mesenteric artery stenosis. A positive study requires confirmation with an additional imaging study prior to mesenteric artery reconstruction. Other applications of mesenteric duplex scanning include identification of reversible compression of the celiac artery, follow-up of mesenteric bypass grafts and physiological studies of the intestinal circulation.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Fasting peak systolic velocity ≥ 275 cm/s in the SMA and ≥ 200 cm/s in the CA can reliably (sensitivity and specificity around 90%) indicate ≥ 70% stenosis.
“Fasting peak systolic velocity ≥ 275 cm/s in the SMA and ≥ 200 cm/s in the CA can reliably (sensitivity and specificity around 90%) indicate ≥ 70% stenosis[82].”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [82]
The viscera receive 10-20% of the cardiac output in a resting state and 35% in a postprandial state.
“The viscera receive 10 e 20% of the cardiac output in a resting state and 35% in a postprandial state starting 10 e 30 minutes after a meal and continuing for up to three hours to meet the increased metabolic demand. 7,8”
MAOD is predominantly caused by atherosclerosis affecting the ostia of the mesenteric arteries.
“MAOD is predominantly caused by atherosclerosis affecting the ostia of the mesenteric arteries. 7,8”
Cites
Still being checked.
Cited by
Sorted by citations
Editor's Choice – Management of the Diseases of Mesenteric Arteries and Veins
Björck, M., Koelemay, M., Acosta, S., Bastos Goncalves, F., Kölbel, T., Kolkman, J. J., Lees, T., Lefevre, J. H., Menyhei, G., Oderich, G., et al. (2017) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2017.01.010 · Cited by 658 · see citing works
Endovascular Therapy for Chronic Mesenteric Ischemia
Silva, J. A., White, C. J., Collins, T. J., Jenkins, J. S., Andry, M. E., Reilly, J. P., & Ramee, S. R. (2006) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2005.10.056 · Cited by 157 · see citing works
Celiac artery compression syndrome managed by laparoscopy
Baccari, P., Civilini, E., Dordoni, L., Melissano, G., Nicoletti, R., & Chiesa, R. (2009) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2008.11.124 · Cited by 130 · see citing works
Koelemay, M. J., Geelkerken, R. H., Kärkkäinen, J., Leone, N., Antoniou, G. A., de Bruin, J. L., Gombert, A., Gottsätter, A., Iborra, E., Ronchey, S., et al. (2025) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2025.06.010 · Cited by 123 · see citing works
Otte, J. A., Geelkerken, R. H., Oostveen, E., Mensink, P. B. F., Huisman, A. B., & Kolkman, J. J. (2005) · Clinical Gastroenterology and Hepatology · doi:10.1016/s1542-3565(05)00155-2 · Cited by 88 · see citing works
Mesenteric stenosis, collaterals, and compensatory blood flow
van Petersen, A. S., Kolkman, J. J., Meerwaldt, R., Huisman, A. B., van der Palen, J., Zeebregts, C. J., & Geelkerken, R. H. (2014) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2014.01.063 · Cited by 87 · see citing works
Chronic Mesenteric Ischemia: Diagnosis and Treatment
Hohenwalter, E. (2009) · Seminars in Interventional Radiology · doi:10.1055/s-0029-1242198 · Cited by 79 · see citing works
Ischemic bowel disease in 2021.
Ahmed, M. (2021) · World Journal of Gastroenterology · doi:10.3748/wjg.v27.i29.4746 · Cited by 77 · see citing works
Imaging in Intestinal Ischemic Disorders
Gore, R. M., Yaghmai, V., Thakrar, K. H., Berlin, J. W., Mehta, U. K., Newmark, G. M., & Miller, F. H. (2008) · Radiologic Clinics of North America · doi:10.1016/j.rcl.2008.05.004 · Cited by 71 · see citing works
Gastrointestinal manifestations in systemic lupus erythematosus
Fawzy, M., Edrees, A., Okasha, H., Ashmaui, A. E., & Ragab, G. (2016) · Lupus · doi:10.1177/0961203316642308 · Cited by 70 · see citing works
Acute mesenteric ischemia after cardio-pulmonary bypass surgery
Abboud, B., Daher, R., & Jaoude, J. B. (2008) · World Journal of Gastroenterology · doi:10.3748/wjg.14.5361 · Cited by 69 · see citing works
White, R., Weir-McCall, J. R., Sullivan, C. M., Mustafa, S. A. R., Yeap, P. M., Budak, M. J., Sudarshan, T. A. P., & Zealley, I. A. (2015) · Radiographics · doi:10.1148/rg.2015140243 · Cited by 62 · see citing works
Comparison of Noninvasive Imaging Modalities for Stenosis Grading in Mesenteric Arteries
Schaefer, P., Pfarr, J., Trentmann, J., Wulff, A., Langer, C., Siggelkow, M., Groß, J., Knabe, H., & Schaefer, F. (2013) · RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren · doi:10.1055/s-0033-1335212 · Cited by 52 · see citing works
Radiology and mesenteric ischaemia
McCarthy, E., Little, M. W., Briggs, J. H., Sutcliffe, J., Tapping, C. R., Patel, R. C., Bratby, M., & Uberoi, R. (2015) · Clinical Radiology · doi:10.1016/j.crad.2015.02.012 · Cited by 38 · see citing works
van Petersen, A. S., Meerwaldt, R., Kolkman, J. J., Huisman, A. B., van der Palen, J., van Bockel, J. H., Zeebregts, C. J., & Geelkerken, R. H. (2013) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2012.11.120 · Cited by 37 · see citing works
Chronic Mesenteric Ischemia: How to Select Patients for Invasive Treatment
Chandra, A., & Quiñones‐Baldrich, W. J. (2010) · Seminars in Vascular Surgery · doi:10.1053/j.semvascsurg.2009.12.003 · Cited by 36 · see citing works
Imaging in Intestinal Ischemic Disorders
Gore, R. M., Thakrar, K. H., Mehta, U. K., Berlin, J. W., Yaghmai, V., & Newmark, G. M. (2008) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2008.05.007 · Cited by 36 · see citing works
Mesenteric Ischemia in the Elderly
Ozden, N., & Gurses, B. (2007) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2007.07.001 · Cited by 28 · see citing works
Transabdominal Ultrasonography of the Small Bowel
Kralik, R., Trnovsky, P., & Kopáčová, M. (2013) · Gastroenterology Research and Practice · doi:10.1155/2013/896704 · Cited by 27 · see citing works
Ichiba, T., Hara, M., Yunoki, K., Urashima, M., & Naitou, H. (2016) · Circulation Journal · doi:10.1253/circj.cj-16-0132 · Cited by 22 · see citing works
Murphy, C., Baskind, S., Aladangady, N., & Banerjee, J. (2023) · Frontiers in Pediatrics · doi:10.3389/fped.2023.1154611 · Cited by 14 · see citing works
Color Duplex evaluation of the mesenteric artery
Catalini, R., Alborino, S., Giovagnoli, A., & Zingaretti, O. (2010) · Journal of Ultrasound · doi:10.1016/j.jus.2010.09.002 · Cited by 13 · see citing works
How vascular surgeons can learn ultrasound
Eiberg, J., Konge, L., Vila-Coll, R., & Sillesen, H. H. (2019) · Seminars in Vascular Surgery · doi:10.1053/j.semvascsurg.2019.01.007 · Cited by 10 · see citing works
Chronische intestinale Ischämie
Debus, E. S., Luther, B., Daum, H., & Larena-Avellaneda, A. A. (2009) · Der Chirurg · doi:10.1007/s00104-009-1709-9 · Cited by 10 · see citing works
Bao, S., Wang, T., Jin, X., Zhang, S., Qi, H., Dong, D., Mou, X., Zhang, X., & Li, C. (2019) · Experimental and Therapeutic Medicine · doi:10.3892/etm.2019.7399 · Cited by 10 · see citing works
Seidl, H., Türck, J., Schepp, W., & Schneider, A. R. J. (2010) · Ultrasound in Medicine & Biology · doi:10.1016/j.ultrasmedbio.2010.07.017 · Cited by 9 · see citing works
Gottlieb, K. T. (2007) · PubMed · Cited by 8 · see citing works
Early Identification of Chronic Mesenteric Ischemia with Endoscopic Duplex Ultrasound
Safi, N., Ånonsen, K. V., Berge, S. T., Medhus, A. W., Sundhagen, J. O., Hisdal, J., & Kazmi, S. S. H. (2022) · Vascular Health and Risk Management · doi:10.2147/vhrm.s358570 · Cited by 7 · see citing works
Audu, C. O., Schechtman, D. W., & Davis, F. M. (2023) · Clinics in Colon and Rectal Surgery · doi:10.1055/s-0043-1777667 · Cited by 8 · see citing works
van Dijk, L. J. D., Harki, J., van Noord, D., de Vries, A. C., Moelker, A., Verhagen, H. J. M., Kuipers, E. J., & Bruno, M. J. (2019) · Gastrointestinal Endoscopy · doi:10.1016/j.gie.2018.07.024 · Cited by 7 · see citing works
Lee, J. H., Choi, H. J., Jung, K. H., Oh, M., Kim, J. H., & Lee, Y. M. (2016) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000002650 · Cited by 5 · see citing works
Patients with chronic mesenteric ischemia have an altered sublingual microcirculation
Harki, J., Suker, M., Doncel, M. S. T., van Dijk, L. J. D., van Noord, D., van Eijck, C. H. J., Bruno, M. J., Kuipers, E. J., & İnce, C. (2018) · Clinical and Experimental Gastroenterology · doi:10.2147/ceg.s159160 · Cited by 5 · see citing works
Brandtzäg, A. A., Eiberg, J., Lönn, L., Taudorf, M., & Resch, T. A. (2024) · Trials · doi:10.1186/s13063-024-08285-5 · Cited by 4 · see citing works
Operative Therapie der chronischen mesenterialen Ischämie
Debus, E. S., Larena-Avellaneda, A. A., Carpenter, W., Diener, H., & Kölbel, T. (2011) · Der Chirurg · doi:10.1007/s00104-011-2099-3 · Cited by 4 · see citing works
Leenarts, C. A., Haagmans, M., Bouwman, L. H., & Sikkink, C. J. J. M. (2018) · Journal of Natural Science Biology and Medicine · doi:10.4103/jnsbm.jnsbm_200_17 · Cited by 3 · see citing works
Mori, M., Shioda, K., Elder, R. W., Pernetz, M. A., Rodriguez, F. H., Rangosch, A. N., Kogon, B. E., & Book, W. (2016) · Pediatric Cardiology · doi:10.1007/s00246-016-1382-y · Cited by 2 · see citing works
Baláž, P., Rokošný, S., & Bafrnec, J. (2013) · Bratislavské lekárske listy/Bratislava medical journal · doi:10.4149/bll_2013_035 · Cited by 2 · see citing works
Clair, D. G. (2010) · Elsevier eBooks · doi:10.1016/b978-1-4160-6208-0.10035-7 · Cited by 2 · see citing works
Cloud, A., Dussel, J. N., Webster-Lake, C., & Indes, J. (2019) · Elsevier eBooks · doi:10.1016/b978-0-323-40232-3.00087-x · Cited by 2 · see citing works
Reis, W. P., Gaio, J., Reis, C., Waisberg, D. R., Klug, M., de Miranda, R. B., & Waisberg, J. (2010) · Jornal Vascular Brasileiro · doi:10.1590/s1677-54492010000100002 · Cited by 1 · see citing works
Vascular Arterial Compression Syndromes
Chadachan, V. M., & Eberhardt, R. T. (2011) · Current Treatment Options in Cardiovascular Medicine · doi:10.1007/s11936-011-0110-4 · Cited by 1 · see citing works
Visceral Artery Revascularization
Oderich, G. S., & Kanamori, K. S. (2015) · Springer eBooks · doi:10.1007/978-3-642-37078-6_126 · Cited by 1 · see citing works
Zachrisson, H. (2014) · Journal of Medical Diagnostic Methods · doi:10.4172/2168-9784.1000154 · Cited by 1 · see citing works
Huber, T. S., & Lee, W. A. (2010) · Elsevier eBooks · doi:10.1016/b978-1-4160-5223-4.00148-7 · Cited by 1 · see citing works
Visceral Artery Revascularization
Oderich, G. S., & Kanamori, K. S. (2014) · Springer eBooks · doi:10.1007/978-3-642-37393-0_126-1 · Cited by 1 · see citing works
Luther, B., Müller‐Hülsbeck, S., & Debus, E. S. (2012) · Springer eBooks · doi:10.1007/978-3-642-01709-4_29 · Cited by 1 · see citing works
Chronic mesenteric ischemia: causes, methods of diagnosis and treatment
Bugurov, S., Karpenko, A. A., Osipova, O. S., Гостев, А. А., Saaya, S. B., Cheban, A. V., Mochalova, A. B., Ignatenko, P. V., Rabtsun, A. A., Obedinskiy, A. A., et al. (2022) · CARDIOVASCULAR THERAPY AND PREVENTION · doi:10.15829/1728-8800-2022-3183 · Cited by 1 · see citing works
Clinical Presentation, Etiology, and Diagnostic Considerations
Stangenberg, L., & Schermerhorn, M. L. (2014) · Springer eBooks · doi:10.1007/978-1-4939-1847-8_9 · Cited by 1 · see citing works
Klinische Anatomie und Physiologie des viszeralen Arteriensystems
Oderich, G. S., Erben, Y., & Debus, E. S. (2020) · Springer Reference Medizin · doi:10.1007/978-3-662-53380-2_76 · Cited by 1 · see citing works
Oderich, G. S., & de Souza, L. R. (2014) · Springer eBooks · doi:10.1007/978-1-4939-1847-8_3 · Cited by 1 · see citing works
Chronische Verschlussprozesse der Intestinalarterien (S2)
Gefäßchirurgie, D. G. F. (2009) · Springer eBooks · doi:10.1007/978-3-642-04710-7_8 · Cited by 1 · see citing works
Explorations fonctionnelles morphologiques et biologiques en pathologie vasculaire digestive
Desloover, F., Ernst, O., Branche, J., Vernier-Massouille, G., Lebuffe, G., Élias, A., & Zerbib, P. (2012) · Springer eBooks · doi:10.1007/978-2-8178-0276-3_4
Acquiring and Improving Skills in Diagnostic Endosonography
Gottlieb, K. T., & Mariño, G. (2013) · Springer eBooks · doi:10.1007/978-3-642-39118-7_1
Chronic mesenteric ischemia : with a focus on collateral circulation
van Petersen, A. S. (2016) · doi:10.3990/1.9789036542944
Mesenteric Ischemia in Aortic Aneurysm/Dissection
Dorobanţu, B. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-809979-7.00051-1
D, D. S., Sonarkar, R., Fulare, S., & Chandak, N. (2018) · Journal of Evolution of Medical and Dental Sciences · doi:10.14260/jemds/2018/235
Écho-Doppler artériel : artères digestives
Pérez‐Martin, A., Schuster, I., Rienzo-Ambrozkiewicz, M. D., Aichoun, I., Laroche, J.-P., Dauzat, M., & Böge, G. (2016) · Elsevier eBooks · doi:10.1016/b978-2-294-74970-4.00014-2
Mesenteric Revascularization in Patients with Acute on Chronic Bowel Ischemia
Hans, S. S. (2020) · Springer eBooks · doi:10.1007/978-3-030-44135-7_53
Durchblutungsstörungen der Nieren- und Mesenterialarterien
Brunkhorst, R. R., Lorenzen, H. P., & Zeller, T. (2009) · Der Internist · doi:10.1007/s00108-009-2368-0
Ischémie intestinale chronique
Zerbib, P. (2012) · Springer eBooks · doi:10.1007/978-2-8178-0276-3_6
Radeleff, B. A., Richter, G. M., Rohde, S., Soeder, F., Tesdal, K., & Weber, M. D. (2020) · Springer eBooks · doi:10.1007/978-3-662-56243-7_10
Simon, M. A., & DuBose, J. J. (2018) · Springer eBooks · doi:10.1007/978-3-319-96286-3_20
Mahjoub, Y., Levrard, M., Deguines, J.-B., Robert, B., & Dupont, H. (2012) · EMC-Anesthésie réanimation/Encyclopédie médico-chirurgicale. Anesthésie, réanimation · doi:10.1016/s0246-0289(12)70030-0
Stanley, A. C., & Schneider, J. G. (2013) · Elsevier eBooks · doi:10.1016/b978-1-4377-2206-2.00085-3
Klinische Anatomie und Physiologie des viszeralen Arteriensystems
Oderich, G. S., Erben, Y., & Debus, E. S. (2019) · Springer Reference Medizin · doi:10.1007/978-3-662-45856-3_76-1
(2012) · Elsevier eBooks · doi:10.1016/b978-1-4377-0404-4.10009-3
Mahjoub, Y., Levrard, M., Deguines, J.-B., Robert, B., & Dupont, H. (2012) · EMC - Anestesia-Rianimazione · doi:10.1016/s1283-0771(12)62046-5
Mahjoub, Y., Levrard, M., Deguines, J.-B., Robert, B., & Dupont, H. (2012) · EMC - Anestesia-Reanimación · doi:10.1016/s1280-4703(12)61885-4 · Cited by 1 · see citing works
(2023) · Haug Verlag in Georg Thieme Verlag KG eBooks · doi:10.1055/b-0043-197252
Trabelsi, N. O., Drudi, L. M., Blair, J.-F., Elkouri, S., Beaudoin, N., Perreault, P., Soulez, G., & Charbonneau, P. (2025) · JVS-Vascular Insights · doi:10.1016/j.jvsvi.2025.100220
Filis, K., Galyfos, G. C., & Sigala, F. (2026) · Springer eBooks · doi:10.1007/978-3-031-82232-2_53
Bahroloomi, D., Azizzadeh, A., & Hassoun, H. T. (2026) · Springer eBooks · doi:10.1007/978-3-032-21069-2_37
- Authors
- Mitchell, E. L., & Moneta, G. L.
- Affiliations
- Oregon Health & Science University (US)
- ORCID
- Mitchell, E. L.
- Venue
- Perspectives in Vascular Surgery and Endovascular Therapy
- Publisher
- SAGE Publications
- Published
- 2006-06-01
- Volume
- 18
- Issue
- 2
- Pages
- 175-183
- ISSN
- 0894-8046 (ISSN-L)
- 1531-0035
- OpenAlex
- W2127073803
- Cited by
- 72
- References
- 0
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 4 · 2018: 5 · 2017: 2 · 2016: 6 · 2015: 3 · 2014: 5 · 2013: 6 · 2012: 7
- FWCI
- 3.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Perspectives in 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
- superior mesenteric artery stenosis, celiac artery stenosis, chronic mesenteric ischemia, peak systolic velocity, celiac artery compression
- MeSH terms
- Celiac Artery, Constriction, Pathologic, Fasting, Humans, Intestines, Ischemia, Mesenteric Vascular Occlusion, Predictive Value of Tests, Splanchnic Circulation, Tomography, X-Ray Computed, Practice Guidelines as Topic, Mesenteric Artery, Superior, Ultrasonography, Doppler, Duplex, Postprandial Period
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
