Abdominal Angina

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Elisabeth G E Devries - One of the best experts on this subject based on the ideXlab platform.

  • Abdominal Angina in patients with a midgut carcinoid a sign of severe pathology
    World Journal of Surgery, 2005
    Co-Authors: Harry Devries, Rob T M Wijffels, Pax H B Willemse, Rene C J Verschueren, Ido P Kema, Arend Karrenbeld, Ted R Prins, Elisabeth G E Devries
    Abstract:

    In 36 consecutive patients with a foregut carcinoid with extensive local tumor growth and liver metastases with a carcinoid syndrome, six patients had complaints of postprandial Abdominal pain and attacks of subileus based on segmental intestinal ischemia. A diagnosis of Abdominal Angina was supported by a positive response to nitroglycerin in two and ischemia of the ileum demonstrated by angiography in two other patients. Complaints were reduced in all patients after surgery. Histopathology of the resected small bowel specimens showed elastic vascular sclerosis in three patients and ischemic changes in three other patients, confirming the clinical diagnosis. Resection of ischemic bowel can provide relief in patients with segmental intestinal ischemia caused by carcinoid-induced vascular sclerosis.

A Szczeklik - One of the best experts on this subject based on the ideXlab platform.

  • advanced Abdominal Angina due to atherosclerosis with atypical celiac arteries
    Polskie Archiwum Medycyny Wewnetrznej-polish Archives of Internal Medicine, 2000
    Co-Authors: M Makowski, J Bartlewicz, Marek Krzanowski, Rafal Nizankowski, A Szczeklik
    Abstract:

    It is generally accepted that the Abdominal Angina develops only when at least two of the three splanchnic vessels-mesenteric arteries and the celiac trunk exhibit a critical obstruction. That common opinion does not, however, take into account anatomical variants of arteries supplying the blood to the intestines. We present a case of a wasted, 40 year old male with a wide spread arteriosclerosis and postprandial pain. The ultrasound examination revealed total occlusion of the superior mesenteric artery (SMA). Celiac trunk (CT) and inferior mesenteric artery (IMA) were patent. The ultrasound indicated that only one splanchic vessel was obstructed; the systemic disorder, the neoplasm, as well as the malabsorption were ruled out. An arteriography of the Abdominal aorta and of splanchnic arteries confirmed patency of CT and IMA, also lack of flow in the SMA. Atypical origin of the middle colic artery originating from the bed of CT was also shown. Lack of collaterals between IMA and SMA, typically conducting a sufficient blood flow, resulted in a fully symptomatic Abdominal Angina. Symptoms were relieved following surgical revascularization.

Harry Devries - One of the best experts on this subject based on the ideXlab platform.

  • Abdominal Angina in patients with a midgut carcinoid a sign of severe pathology
    World Journal of Surgery, 2005
    Co-Authors: Harry Devries, Rob T M Wijffels, Pax H B Willemse, Rene C J Verschueren, Ido P Kema, Arend Karrenbeld, Ted R Prins, Elisabeth G E Devries
    Abstract:

    In 36 consecutive patients with a foregut carcinoid with extensive local tumor growth and liver metastases with a carcinoid syndrome, six patients had complaints of postprandial Abdominal pain and attacks of subileus based on segmental intestinal ischemia. A diagnosis of Abdominal Angina was supported by a positive response to nitroglycerin in two and ischemia of the ileum demonstrated by angiography in two other patients. Complaints were reduced in all patients after surgery. Histopathology of the resected small bowel specimens showed elastic vascular sclerosis in three patients and ischemic changes in three other patients, confirming the clinical diagnosis. Resection of ischemic bowel can provide relief in patients with segmental intestinal ischemia caused by carcinoid-induced vascular sclerosis.

Hiraiwa T. - One of the best experts on this subject based on the ideXlab platform.

  • Chronic Visceral Artery Obstruction Associated with Hypoplastic Aorta in a Pair of Monozygotic Twins
    Published by Elsevier Ltd., 2007
    Co-Authors: Ito H., Yamamoto K., Hiraiwa T.
    Abstract:

    We report a case of chronic visceral artery obstruction associated with hypoplastic aorta in a pair of monozygotic twins. They had suffered from Abdominal Angina and intermittent claudication. The younger twin underwent simultaneous visceral artery reconstruction and right common iliac-femoral artery bypass at age 30. The older twin went through visceral artery reconstruction at age 34, which was 4 years after bilateral common iliac-femoral artery bypass. We used a temporary shunt in order to ensure perfusion for the visceral organs, because there was a rich collateral circulation to visceral organs from the inferior mesenteric artery (IMA) and the internal iliac arteries

  • Chronic Visceral Artery Obstruction Associated with Hypoplastic Aorta in a Pair of Monozygotic Twins
    Elsevier Ltd., 2007
    Co-Authors: Ito H., Yamamoto K., Hiraiwa T.
    Abstract:

    We report a case of chronic visceral artery obstruction associated with a hypoplastic aorta in a pair of monozygotic twins. They had suffered from Abdominal Angina and intermittent claudication. The younger twin underwent simultaneous visceral artery reconstruction and right common iliac-femoral artery bypass at age 30. The older twin underwent a visceral artery reconstruction at age 34, 4 years after bilateral common iliac-femoral artery bypass. We used a temporary shunt in order to ensure perfusion for the visceral organs, because there was a rich collateral circulation to visceral organs from the inferior mesenteric artery (IMA) and the internal iliac arteries

Dr Ronald Lee Tyson - One of the best experts on this subject based on the ideXlab platform.

  • diagnosis and treatment of Abdominal Angina
    Gender & Development, 2010
    Co-Authors: Dr Ronald Lee Tyson
    Abstract:

    Abdominal Angina refers to Abdominal pain in which perfusion to digestive tissues has been compromised, usually due to mesenteric atherosclerosis. Pathology can progress to necrosis of vital viscera, sepsis, or even death. Practitioners need to be aware of this serious medical condition, especially in the ever-growing elderly population.