A new provocative test for chronic mesenteric ischemia.
A new provocative test for chronic mesenteric ischemia is described, based upon the demonstration of a fall in the intramural pH of the small bowel after introduction of a test meal into the stomach. Intramural pH (pHI) is determined indirectly by tonometry, utilizing a tonometer passed per os. Postoperative assessment of revascularization procedures is also possible by the same technique. Application of the test in an 84-yr-old woman showed good correlation between a preoperative fall in jejunal intramural pH and abdominal pain, and the absence of a fall postoperatively after successful revascularization.
Boley
S J
SJ
Department of Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Brandt
L J
LJ
Veith
F J
FJ
Kosches
D
D
Sales
C
C
D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007511:Ischemia / Q000175:diagnosis* / Q000601:surgery; D007583:Jejunum / Q000378:metabolism*; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis* / Q000601:surgery; D011859:Radiography