Mesenteric ischemia other diagnostic studies: Difference between revisions

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{{CMG}} {{AE}} {{FT}}
{{CMG}} {{AE}} {{FT}}
==Overview==
==Overview==
Although computed tomography angiography remains the diagnostic test of choice for mesenteric ischemia. However, there are newer diagnostic studies which can help diagnose mesenteric ischemia at an earlier stage.
Although computed tomography angiography remains the diagnostic test of choice for mesenteric ischemia. However, there are newer diagnostic studies which may be helpful in making the diagnosis of mesenteric ischemia and include functional studies such as [[tonometry]], spectroscopic oximetry and MR flow.
===Other Diagnostic studies:===
===Other Diagnostic studies:===
*A few functional studies have been found to be helpful in making the diagnosis of mesenteric ischemia but their clinical role still needs to be established.<ref name="pmid12110715">{{cite journal |vauthors=Cognet F, Ben Salem D, Dranssart M, Cercueil JP, Weiller M, Tatou E, Boyer L, Krausé D |title=Chronic mesenteric ischemia: imaging and percutaneous treatment |journal=Radiographics |volume=22 |issue=4 |pages=863–79; discussion 879–80 |year=2002 |pmid=12110715 |doi=10.1148/radiographics.22.4.g02jl07863 |url=}}</ref>
*A few functional studies have been found to be helpful in making the diagnosis of mesenteric ischemia but their clinical role still needs to be established.<ref name="pmid12110715">{{cite journal |vauthors=Cognet F, Ben Salem D, Dranssart M, Cercueil JP, Weiller M, Tatou E, Boyer L, Krausé D |title=Chronic mesenteric ischemia: imaging and percutaneous treatment |journal=Radiographics |volume=22 |issue=4 |pages=863–79; discussion 879–80 |year=2002 |pmid=12110715 |doi=10.1148/radiographics.22.4.g02jl07863 |url=}}</ref>
** Tonometry<ref name="pmid2058633">{{cite journal |vauthors=Boley SJ, Brandt LJ, Veith FJ, Kosches D, Sales C |title=A new provocative test for chronic mesenteric ischemia |journal=Am. J. Gastroenterol. |volume=86 |issue=7 |pages=888–91 |year=1991 |pmid=2058633 |doi= |url=}}</ref><ref name="pmid9804580">{{cite journal |vauthors=Walley KR, Friesen BP, Humer MF, Phang PT |title=Small bowel tonometry is more accurate than gastric tonometry in detecting gut ischemia |journal=J. Appl. Physiol. |volume=85 |issue=5 |pages=1770–7 |year=1998 |pmid=9804580 |doi=10.1152/jappl.1998.85.5.1770 |url=}}</ref><ref name="pmid9515745">{{cite journal |vauthors=Kolkman JJ, Groeneveld AB |title=Occlusive and non-occlusive gastrointestinal ischaemia: a clinical review with special emphasis on the diagnostic value of tonometry |journal=Scand. J. Gastroenterol. Suppl. |volume=225 |issue= |pages=3–12 |year=1998 |pmid=9515745 |doi= |url=}}</ref><ref name="pmid16206498">{{cite journal |vauthors=Otte JA, Geelkerken RH, Oostveen E, Mensink PB, Huisman AB, Kolkman JJ |title=Clinical impact of gastric exercise tonometry on diagnosis and management of chronic gastrointestinal ischemia |journal=Clin. Gastroenterol. Hepatol. |volume=3 |issue=7 |pages=660–6 |year=2005 |pmid=16206498 |doi= |url=}}</ref><ref name="pmid17530402">{{cite journal |vauthors=Mensink PB, Geelkerken RH, Huisman AB, Kuipers EJ, Kolkman JJ |title=Twenty-four hour tonometry in patients suspected of chronic gastrointestinal ischemia |journal=Dig. Dis. Sci. |volume=53 |issue=1 |pages=133–9 |year=2008 |pmid=17530402 |pmc=2140097 |doi=10.1007/s10620-007-9833-1 |url=}}</ref>
** [[Tonometry]]<ref name="pmid2058633">{{cite journal |vauthors=Boley SJ, Brandt LJ, Veith FJ, Kosches D, Sales C |title=A new provocative test for chronic mesenteric ischemia |journal=Am. J. Gastroenterol. |volume=86 |issue=7 |pages=888–91 |year=1991 |pmid=2058633 |doi= |url=}}</ref><ref name="pmid9804580">{{cite journal |vauthors=Walley KR, Friesen BP, Humer MF, Phang PT |title=Small bowel tonometry is more accurate than gastric tonometry in detecting gut ischemia |journal=J. Appl. Physiol. |volume=85 |issue=5 |pages=1770–7 |year=1998 |pmid=9804580 |doi=10.1152/jappl.1998.85.5.1770 |url=}}</ref><ref name="pmid9515745">{{cite journal |vauthors=Kolkman JJ, Groeneveld AB |title=Occlusive and non-occlusive gastrointestinal ischaemia: a clinical review with special emphasis on the diagnostic value of tonometry |journal=Scand. J. Gastroenterol. Suppl. |volume=225 |issue= |pages=3–12 |year=1998 |pmid=9515745 |doi= |url=}}</ref><ref name="pmid16206498">{{cite journal |vauthors=Otte JA, Geelkerken RH, Oostveen E, Mensink PB, Huisman AB, Kolkman JJ |title=Clinical impact of gastric exercise tonometry on diagnosis and management of chronic gastrointestinal ischemia |journal=Clin. Gastroenterol. Hepatol. |volume=3 |issue=7 |pages=660–6 |year=2005 |pmid=16206498 |doi= |url=}}</ref><ref name="pmid17530402">{{cite journal |vauthors=Mensink PB, Geelkerken RH, Huisman AB, Kuipers EJ, Kolkman JJ |title=Twenty-four hour tonometry in patients suspected of chronic gastrointestinal ischemia |journal=Dig. Dis. Sci. |volume=53 |issue=1 |pages=133–9 |year=2008 |pmid=17530402 |pmc=2140097 |doi=10.1007/s10620-007-9833-1 |url=}}</ref>
**Spectroscopic oximetry<ref name="pmid17137857">{{cite journal |vauthors=Friedland S, Benaron D, Coogan S, Sze DY, Soetikno R |title=Diagnosis of chronic mesenteric ischemia by visible light spectroscopy during endoscopy |journal=Gastrointest. Endosc. |volume=65 |issue=2 |pages=294–300 |year=2007 |pmid=17137857 |doi=10.1016/j.gie.2006.05.007 |url=}}</ref>
**Spectroscopic oximetry<ref name="pmid17137857">{{cite journal |vauthors=Friedland S, Benaron D, Coogan S, Sze DY, Soetikno R |title=Diagnosis of chronic mesenteric ischemia by visible light spectroscopy during endoscopy |journal=Gastrointest. Endosc. |volume=65 |issue=2 |pages=294–300 |year=2007 |pmid=17137857 |doi=10.1016/j.gie.2006.05.007 |url=}}</ref>
**MR flow<ref name="pmid7862982">{{cite journal |vauthors=Burkart DJ, Johnson CD, Reading CC, Ehman RL |title=MR measurements of mesenteric venous flow: prospective evaluation in healthy volunteers and patients with suspected chronic mesenteric ischemia |journal=Radiology |volume=194 |issue=3 |pages=801–6 |year=1995 |pmid=7862982 |doi=10.1148/radiology.194.3.7862982 |url=}}</ref>
**MR flow<ref name="pmid7862982">{{cite journal |vauthors=Burkart DJ, Johnson CD, Reading CC, Ehman RL |title=MR measurements of mesenteric venous flow: prospective evaluation in healthy volunteers and patients with suspected chronic mesenteric ischemia |journal=Radiology |volume=194 |issue=3 |pages=801–6 |year=1995 |pmid=7862982 |doi=10.1148/radiology.194.3.7862982 |url=}}</ref>

Latest revision as of 03:20, 15 January 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]

Overview

Although computed tomography angiography remains the diagnostic test of choice for mesenteric ischemia. However, there are newer diagnostic studies which may be helpful in making the diagnosis of mesenteric ischemia and include functional studies such as tonometry, spectroscopic oximetry and MR flow.

Other Diagnostic studies:

  • A few functional studies have been found to be helpful in making the diagnosis of mesenteric ischemia but their clinical role still needs to be established.[1]

References

  1. Cognet F, Ben Salem D, Dranssart M, Cercueil JP, Weiller M, Tatou E, Boyer L, Krausé D (2002). "Chronic mesenteric ischemia: imaging and percutaneous treatment". Radiographics. 22 (4): 863–79, discussion 879–80. doi:10.1148/radiographics.22.4.g02jl07863. PMID 12110715.
  2. Boley SJ, Brandt LJ, Veith FJ, Kosches D, Sales C (1991). "A new provocative test for chronic mesenteric ischemia". Am. J. Gastroenterol. 86 (7): 888–91. PMID 2058633.
  3. Walley KR, Friesen BP, Humer MF, Phang PT (1998). "Small bowel tonometry is more accurate than gastric tonometry in detecting gut ischemia". J. Appl. Physiol. 85 (5): 1770–7. doi:10.1152/jappl.1998.85.5.1770. PMID 9804580.
  4. Kolkman JJ, Groeneveld AB (1998). "Occlusive and non-occlusive gastrointestinal ischaemia: a clinical review with special emphasis on the diagnostic value of tonometry". Scand. J. Gastroenterol. Suppl. 225: 3–12. PMID 9515745.
  5. Otte JA, Geelkerken RH, Oostveen E, Mensink PB, Huisman AB, Kolkman JJ (2005). "Clinical impact of gastric exercise tonometry on diagnosis and management of chronic gastrointestinal ischemia". Clin. Gastroenterol. Hepatol. 3 (7): 660–6. PMID 16206498.
  6. Mensink PB, Geelkerken RH, Huisman AB, Kuipers EJ, Kolkman JJ (2008). "Twenty-four hour tonometry in patients suspected of chronic gastrointestinal ischemia". Dig. Dis. Sci. 53 (1): 133–9. doi:10.1007/s10620-007-9833-1. PMC 2140097. PMID 17530402.
  7. Friedland S, Benaron D, Coogan S, Sze DY, Soetikno R (2007). "Diagnosis of chronic mesenteric ischemia by visible light spectroscopy during endoscopy". Gastrointest. Endosc. 65 (2): 294–300. doi:10.1016/j.gie.2006.05.007. PMID 17137857.
  8. Burkart DJ, Johnson CD, Reading CC, Ehman RL (1995). "MR measurements of mesenteric venous flow: prospective evaluation in healthy volunteers and patients with suspected chronic mesenteric ischemia". Radiology. 194 (3): 801–6. doi:10.1148/radiology.194.3.7862982. PMID 7862982.