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 language | English |
|---|---|
| Title of host publication | Textbook of Clinical Gastroenterology and Hepatology |
| Subtitle of host publication | Second Edition |
| Publisher | Wiley-Blackwell |
| Pages | 493-497 |
| Number of pages | 5 |
| ISBN (Print) | 1405191821, 9781405191821 |
| DOIs | |
| Publication status | Published - 16 Apr 2012 |
| Externally published | Yes |
Keywords
- Arterial occlusive disease
- Chronic intestinal ischemia
- Duplex ultrasound
- Intestinal tonometry
- Splanchnic circulation
- Vascular surgical intervention
- Visceral artery disease