Chronic splanchnic ischaemia: Is tonometry a useful test?

R. H. Geelkerken*, L. J. Schultze Kool, J. Hermans, M. Taher Zarza, J. H. Van Bockel

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

12 Citations (Scopus)

Abstract

Objective: To find out if gastric tonometry is of sufficient accuracy to diagnose chronic splanchnic syndrome. Design: Prospective open study. Setting: University hospital, The Netherlands. Subjects: 10 patients in whom chronic splanchnic syndrome had been suspected, and in 5 of whom it was subsequently confirmed. Intervention: Standardised measurement of intramucosal gastric pH (tonometry) and multiplane angiography of the abdominal aorta and splanchnic arteries. Main outcome measure: Correlation between intramucosal gastric pH and angiographic and clinical findings. Results: The mean basal pH preoperatively was 7.48 among 5 patients subsequently found to have splanchnic syndrome (group 1) and 7.41 among the 5 who did not (group 2). Those in group 1 all had extensive three vessel disease with stenoses of 70% or more in at least two of the three splanchnic arteries. The 5 patients in group 2 had no clinically important stenoses in either the coeliac or the superior mesenteric artery; 4 had occlusions of the inferior mesenteric artery. Conclusion: Gastric tonometry is of no use in the diagnosis of chronic splanchnic syndrome.

Original languageEnglish
Pages (from-to)115-121
Number of pages7
JournalEuropean Journal of Surgery, Acta Chirurgica
Volume163
Issue number2
Publication statusPublished - 26 Mar 1997
Externally publishedYes

Keywords

  • basal
  • gastric tonometry
  • multiplane abdominal angiography
  • postprandial
  • splanchnic arteries

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