Mesenteric ischemia ultrasound

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

Overview

Duplex ultrasonograghy is often used for the evaluation of abdominal pain. However, in case of acute mesenteric ischemia its sensitivity is relatively reduced as compared to other radiological tests owing to its diagnostic limitation by the presence of air-filled distended bowel loops. Its primary clinical application is in the diagnosis of high grade arterial stenosis.

Mesenteric ischemia ultrasound

The use of duplex mesenteric ultrasonograghy is implemented commonly for the diagnosis of the following:^[1]^[2]^[3]

High grade superior mesenteric artery and celiac artery stenosis.
Non-occlusive mesenteric ischemia
More distal emboli.^[4]
Recurrent stenosis following revascularization of mesenteric vasculature using bypass grafts.
Screening for recurrent episode of mesenteric ischemia.
Studying the physiology of intestinal circulation.

References

↑ Baker AC, Chew V, Li CS, Lin TC, Dawson DL, Pevec WC; et al. (2012). “Application of duplex ultrasound imaging in determining in-stent stenosis during surveillance after mesenteric artery revascularization”. J Vasc Surg. 56 (5): 1364–71, discussion 1371. doi:10.1016/j.jvs.2012.03.283. PMID 23009832.
↑ Mitchell EL, Moneta GL (2006). “Mesenteric duplex scanning”. Perspect Vasc Surg Endovasc Ther. 18 (2): 175–83. doi:10.1177/1531003506291885. PMID 17060239.
↑ Moneta GL (2001). “Screening for mesenteric vascular insufficiency and follow-up of mesenteric artery bypass procedures”. Semin Vasc Surg. 14 (3): 186–92. PMID 11561279.
↑ Okita K, Li Q, Murakamio T, Takahashi M (1993). “Anti-growth effects with components of Sho-saiko-to (TJ-9) on cultured human hepatoma cells”. Eur J Cancer Prev. 2 (2): 169–75. PMID 7681712.

[pmid23009832-1] Baker AC, Chew V, Li CS, Lin TC, Dawson DL, Pevec WC; et al. (2012). “Application of duplex ultrasound imaging in determining in-stent stenosis during surveillance after mesenteric artery revascularization”. J Vasc Surg. 56 (5): 1364–71, discussion 1371. doi:10.1016/j.jvs.2012.03.283. PMID 23009832.

[pmid17060239-2] Mitchell EL, Moneta GL (2006). “Mesenteric duplex scanning”. Perspect Vasc Surg Endovasc Ther. 18 (2): 175–83. doi:10.1177/1531003506291885. PMID 17060239.

[pmid11561279-3] Moneta GL (2001). “Screening for mesenteric vascular insufficiency and follow-up of mesenteric artery bypass procedures”. Semin Vasc Surg. 14 (3): 186–92. PMID 11561279.

[pmid7681712-4] Okita K, Li Q, Murakamio T, Takahashi M (1993). “Anti-growth effects with components of Sho-saiko-to (TJ-9) on cultured human hepatoma cells”. Eur J Cancer Prev. 2 (2): 169–75. PMID 7681712.

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