Single vessel abdominal arterial disease.
The long-standing discussion concerning the mere existence of single vessel abdominal artery disease can be closed: chronic gastrointestinal ischaemia (CGI) due to single vessel abdominal artery stenosis exists, can be treated successfully and in a safe manner. The most common causes of single vessel CGI are the coeliac artery compression syndrome (CACS) in younger patients, and atherosclerotic disease in elderly patients. The clinical symptoms of single vessel CGI patients are postprandial and exercise-related pain, weight loss, and an abdominal bruit. The current diagnostic approach in patients suspected of single vessel CGI is gastrointestinal tonometry combined with radiological visualisation of the abdominal arteries to define possible arterial stenosis. Especially in single vessel abdominal artery stenosis, gastrointestinal tonometry plays a pivotal role in establishing the diagnosis CGI. First-choice treatment of single vessel CGI remains surgical revascularisation, especially in CACS. In elderly or selected patients endovascular stent placement therapy is an acceptable option.
van Noord
Désirée
D
Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Centre's, Gravendijkwal 230, 3015 CE Rotterdam, the Netherlands.
Kuipers
Ernst J
EJ
Mensink
Peter B F
PB
D000005:Abdomen / Q000098:blood supply*; D000800:Angioplasty, Balloon / Q000295:instrumentation; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D050197:Atherosclerosis / Q000150:complications; D002445:Celiac Artery / Q000000981:diagnostic imaging; D003251:Constriction, Pathologic; D006801:Humans; D033162:Incidental Findings; D007511:Ischemia / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D008365:Manometry; D008638:Mesenteric Arteries / Q000473:pathology; D008641:Mesenteric Vascular Occlusion / Q000209:etiology; D015641:Radiography, Interventional; D012307:Risk Factors; D015607:Stents; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures