Splanchnic Vascular Disorders

J. Hajo van Bockel; Robert H. Geelkerken; Jeroen J. Kolkman

doi:10.1002/9781118321386.ch65

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 proceeding › Chapter › Academic › peer-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 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	https://doi.org/10.1002/9781118321386.ch65
Publication status	Published - 16 Apr 2012
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

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

Access to Document

10.1002/9781118321386.ch65

Cite this

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title = "Splanchnic Vascular Disorders",

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.",

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doi = "10.1002/9781118321386.ch65",

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TY - CHAP

T1 - Splanchnic Vascular Disorders

AU - van Bockel, J. Hajo

AU - Geelkerken, Robert H.

AU - Kolkman, Jeroen J.

PY - 2012/4/16

Y1 - 2012/4/16

N2 - 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.

AB - 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.

KW - Arterial occlusive disease

KW - Chronic intestinal ischemia

KW - Duplex ultrasound

KW - Intestinal tonometry

KW - Splanchnic circulation

KW - Vascular surgical intervention

KW - Visceral artery disease

UR - https://www.scopus.com/pages/publications/84891379833

U2 - 10.1002/9781118321386.ch65

DO - 10.1002/9781118321386.ch65

M3 - Chapter

AN - SCOPUS:84891379833

SN - 1405191821

SN - 9781405191821

SP - 493

EP - 497

BT - Textbook of Clinical Gastroenterology and Hepatology

PB - Wiley-Blackwell

ER -

Splanchnic Vascular Disorders

Abstract

UN SDGs

Keywords

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