Significant disease of the celiac and superior mesenteric arteries in asymptomatic patients: predictive value of Doppler sonography.
Abstract
OBJECTIVE: The purpose of this study was to assess the frequency of significant disease (i.e., occlusion or stenosis > 70%) of the celiac and superior mesenteric arteries in asymptomatic patients. SUBJECTS AND METHODS: Using duplex sonographic criteria obtained from previous angiographic-duplex Doppler correlation studies, we assessed the frequency of significant disease in the celiac and superior mesenteric arteries in 184 patients who had no signs or symptoms of mesenteric ischemia. RESULTS: For patients less than 65 years old, the frequency of significant disease was 3%, and it was isolated to the celiac artery. Significant disease was found in 18% of patients more than 65 years old (in 11%, isolated to one vessel; in 7%, disease of both vessels). Single-vessel disease was more common in the celiac artery (81%) than in the superior mesenteric artery (19%). CONCLUSION: These results indicate that the finding of significant abnormality of the celiac and superior mesenteric arteries on Doppler sonograms does not necessarily indicate mesenteric ischemia.
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The prevalence of asymptomatic chronic stenotic mesenteric disease varied from 3% (below the age of 65 years) to 18% (above the age of 65 years) on doppler sonography in some studies.
“Although the prevalence of asymptomatic chronic stenotic mesenteric disease varied from 3% (below the age of 65 years) to 18% (above the age of 65 years) on doppler sonography in some studies[34], the incidence of CMI is low as mentioned before.”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [34]
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- Authors
- Roobottom, C. A., & Dubbins, P. A.
- Affiliations
- Derriford Hospital (GB)
- ORCID
- Roobottom, C A
- Venue
- American Journal of Roentgenology
- Publisher
- American Roentgen Ray Society
- Published
- 1993-11
- Volume
- 161
- Issue
- 5
- Pages
- 985-988
- ISSN
- 0002-9580 (ISSN-L)
- 0361-803X
- 1546-3141
- OpenAlex
- W2164705503
- Cited by
- 161
- References
- 4
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 3 · 2022: 6 · 2021: 7 · 2020: 5 · 2019: 6 · 2018: 6 · 2017: 6 · 2016: 3 · 2015: 7 · 2014: 5 · 2013: 5 · 2012: 5
- FWCI
- 2.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Roentgenology (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
- celiac artery, superior mesenteric artery, mesenteric ischemia, asymptomatic patients, arterial stenosis, arterial occlusion, Doppler ultrasound, duplex ultrasound, predictive value, age-related risk
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Arterial Occlusive Diseases, Blood Flow Velocity, Celiac Artery, Child, Child, Preschool, Humans, Ischemia, Mesenteric Vascular Occlusion, Mesentery, Middle Aged, Predictive Value of Tests, Sensitivity and Specificity, Ultrasonography, Mesenteric Artery, Superior
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