[Diagnosis of chronic abdominal ischemia due to compressive celiac trunk stenosis].
OBJECTIVE
Elucidation of clinical symptoms of compressive celiac trunk stenosis (CCTS) and development of diagnostic programs and the disease classification.


METHODS
Clinical signs of CCTS and results of device examinations have been analyzed in 511 patients operated for CCTS. The diagnostic program is proposed which simplifies CCTS identification. How to use methods of auscultation and phonoangiography of the abdomen, sonography and angiography of the visceral aortic branches, endoscopy and kinesography in this disease is shown. Three symptom complexes are most noticeable in CCTS clinical picture: abdominal pain after meals (100%), digestive tract dysfunctions (78.4%), neurovegetative disorders (84.38%). 67.44% of patients noted meteorological dependence of the disease exacerbation. Objective investigation revealed tenderness to palpation in the epigastrium (100%), systolic murmur in the epigastrium on an empty stomach after full expiration (98.67%).


CONCLUSIONS
Sonographic and endoscopic investigations are recommended for screening of patients to reveal stenotic injury of the celiac trunk. Timely detection of the disease and surgical treatment produce a positive effect in most cases.
Abdurakhmanov
Sh A
ShA
D000005:Abdomen / Q000098:blood supply*; D000293:Adolescent; D000328:Adult; D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000175:diagnosis; D001314:Auscultation; D002445:Celiac Artery; D003937:Diagnosis, Differential; D016145:Endoscopy, Digestive System; D005260:Female; D006801:Humans; D007511:Ischemia / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies