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[Intestinal ischemia. Clinical picture and examination methods]
1Klinisk Fysiologisk/Nuklearmedicinsk Afdeling, Hvidovre Hospital, København.
Ugeskrift for Laeger
|May 22, 1995
Summary
Chronic intestinal ischaemia, often due to arteriosclerosis, causes pain after eating and weight loss. Diagnosis involves angiography or functional tests, with surgical or angioplasty treatment offering excellent outcomes.
Area of Science:
- Gastroenterology
- Vascular Surgery
Context:
- Chronic intestinal ischaemia is an infrequent condition.
- Often linked to arteriosclerosis affecting mesenteric arteries.
Purpose:
- To review symptoms, clinical findings, diagnostic procedures, and treatment of chronic intestinal ischaemia.
- To highlight advancements in diagnostic and therapeutic approaches.
Summary:
- Key symptoms include postprandial abdominal pain and weight loss due to reduced food intake.
- Diagnosis traditionally relies on angiography, but functional tests measuring splanchnic blood flow and noninvasive methods like duplex scanning are emerging.
- Treatment involves surgical revascularization or percutaneous transluminal angioplasty (PTA), with generally excellent results, though PTA may require repetition.
Impact:
- Emphasizes the need for specialized centers for diagnosis and treatment of chronic intestinal ischaemia.
- Improved diagnostic accuracy and less invasive treatment options can enhance patient outcomes.