Splanchnic Vascular Disorders

J. Hajo van Bockel*, Robert H. Geelkerken, Jeroen J. Kolkman

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterAcademicpeer-review

Abstract

Chronic splanchnic ischemia is a relatively unusual clinical entity consisting of pain and/or weight loss and caused by chronic splanchnic disease. The occlusive disease is usually caused by atherosclerosis. Extensive collateral circulation can develop between the three splanchnic arteries and may compensate for the decreased splanchnic perfusion over time. A reliable diagnosis of chronic splanchnic ischemia can be very difficult. Duplex ultrasound, magnetic resonance imaging, and tonometry substantially improve the diagnosis of this syndrome. Progressive disease may result in acute mesenteric ischemia. Surgical reconstruction of the coeliac and/or the superior mesenteric artery is the therapeutic standard with excellent results. Angioplasty with or without stent placement may relieve symptoms in selected patients with a high surgical risk or a short life expectancy.

Original languageEnglish
Title of host publicationTextbook of Clinical Gastroenterology and Hepatology
Subtitle of host publicationSecond Edition
PublisherWiley-Blackwell
Pages493-497
Number of pages5
ISBN (Print)1405191821, 9781405191821
DOIs
Publication statusPublished - 16 Apr 2012
Externally publishedYes

Keywords

  • Arterial occlusive disease
  • Chronic intestinal ischemia
  • Duplex ultrasound
  • Intestinal tonometry
  • Splanchnic circulation
  • Vascular surgical intervention
  • Visceral artery disease

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