Symptomatic Mesenteric Atherosclerotic Disease-Lessons Learned from the Diagnostic Workup.
(2013) In Journal of Gastrointestinal Surgery 17(5). p.973-980- Abstract
- OBJECTIVE: This study aims to analyze the diagnostic workup in patients referred for endovascular mesenteric revascularization for symptomatic mesenteric atherosclerotic disease. MATERIAL AND METHODS: Fifty-five patients were identified between 2006 and 2011. Median follow-up time was 24 months. RESULTS: Median age was 71 years, 67 % were women. Forty patients had acute on chronic mesenteric ischemia, eight had acute mesenteric ischemia, and seven had chronic mesenteric ischemia. Other manifestations of atherosclerotic disease were present in 71 %. Body mass index (BMI) <20 kg/m(2) was found in 37 %. Endoscopy diagnosed duodenitis (38 %; 13/34) and colitis in the right colon (57 %;12/21). All ulcers tested for Helicobacter pylori were... (More)
- OBJECTIVE: This study aims to analyze the diagnostic workup in patients referred for endovascular mesenteric revascularization for symptomatic mesenteric atherosclerotic disease. MATERIAL AND METHODS: Fifty-five patients were identified between 2006 and 2011. Median follow-up time was 24 months. RESULTS: Median age was 71 years, 67 % were women. Forty patients had acute on chronic mesenteric ischemia, eight had acute mesenteric ischemia, and seven had chronic mesenteric ischemia. Other manifestations of atherosclerotic disease were present in 71 %. Body mass index (BMI) <20 kg/m(2) was found in 37 %. Endoscopy diagnosed duodenitis (38 %; 13/34) and colitis in the right colon (57 %;12/21). All ulcers tested for Helicobacter pylori were negative (n = 17). Patients received proton pump inhibitor, antibiotic, and cortisone therapy during diagnostic workup in 73, 42, and 29 % of the cases, respectively. Previous hospitalization for the same complaints had occurred in 78 %. CT angiography showed occlusion (n = 30) and high-grade stenosis (n = 25) of the superior mesenteric artery (SMA). Forty-eight patients were treated with stenting of the SMA. The BMI increased in both women (p = 0.001) and men (p = 0.03) after endovascular therapy. The in-hospital mortality rate was 18 %. CONCLUSION: Patients with abdominal pain, known atherosclerotic disease, right-sided colitis or H. pylori-negative duodenitis should undergo CT angiography immediately to be able to identify symptomatic mesenteric atherosclerotic disease. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3438850
- author
- Björnsson, Steinarr LU ; Resch, Timothy and Acosta, Stefan LU
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Gastrointestinal Surgery
- volume
- 17
- issue
- 5
- pages
- 973 - 980
- publisher
- Springer
- external identifiers
-
- wos:000317862200017
- pmid:23307340
- scopus:84876148164
- ISSN
- 1873-4626
- DOI
- 10.1007/s11605-013-2139-z
- language
- English
- LU publication?
- yes
- id
- 4119f968-207b-4dd2-b4f3-836fdba56578 (old id 3438850)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/23307340?dopt=Abstract
- date added to LUP
- 2016-04-01 10:58:56
- date last changed
- 2022-01-26 04:25:47
@article{4119f968-207b-4dd2-b4f3-836fdba56578, abstract = {{OBJECTIVE: This study aims to analyze the diagnostic workup in patients referred for endovascular mesenteric revascularization for symptomatic mesenteric atherosclerotic disease. MATERIAL AND METHODS: Fifty-five patients were identified between 2006 and 2011. Median follow-up time was 24 months. RESULTS: Median age was 71 years, 67 % were women. Forty patients had acute on chronic mesenteric ischemia, eight had acute mesenteric ischemia, and seven had chronic mesenteric ischemia. Other manifestations of atherosclerotic disease were present in 71 %. Body mass index (BMI) <20 kg/m(2) was found in 37 %. Endoscopy diagnosed duodenitis (38 %; 13/34) and colitis in the right colon (57 %;12/21). All ulcers tested for Helicobacter pylori were negative (n = 17). Patients received proton pump inhibitor, antibiotic, and cortisone therapy during diagnostic workup in 73, 42, and 29 % of the cases, respectively. Previous hospitalization for the same complaints had occurred in 78 %. CT angiography showed occlusion (n = 30) and high-grade stenosis (n = 25) of the superior mesenteric artery (SMA). Forty-eight patients were treated with stenting of the SMA. The BMI increased in both women (p = 0.001) and men (p = 0.03) after endovascular therapy. The in-hospital mortality rate was 18 %. CONCLUSION: Patients with abdominal pain, known atherosclerotic disease, right-sided colitis or H. pylori-negative duodenitis should undergo CT angiography immediately to be able to identify symptomatic mesenteric atherosclerotic disease.}}, author = {{Björnsson, Steinarr and Resch, Timothy and Acosta, Stefan}}, issn = {{1873-4626}}, language = {{eng}}, number = {{5}}, pages = {{973--980}}, publisher = {{Springer}}, series = {{Journal of Gastrointestinal Surgery}}, title = {{Symptomatic Mesenteric Atherosclerotic Disease-Lessons Learned from the Diagnostic Workup.}}, url = {{http://dx.doi.org/10.1007/s11605-013-2139-z}}, doi = {{10.1007/s11605-013-2139-z}}, volume = {{17}}, year = {{2013}}, }