Advertisement

Gastrointestinal Radiology

, Volume 3, Issue 1, pp 85–89 | Cite as

Abnormalities in the sequence of filling and emptying of mesenteric arteries and veins

A guide to ischemic disease of the bowel
  • Klemens H. Barth
  • William W. ScottJr.
  • Donald P. Harrington
  • Stanley S. Siegelman
Article

Abstract

Functional abnormalities in the sequence of filling and emptying of mesenteric arteries and veins may indicate significant disease of the bowel which is not associated with identifiable structural alterations in the blood vessels. In three patients, focal ischemic damage to the bowel was associated with significantly delayed arterial emptying, delayed or absent filling and emptying of mesenteric veins or a combination of both. Evaluation for sequential filling and emptying of vessels proved most helpful since an abnormal pattern may represent the only angiographic abnormality indicative of intestinal infarction.

Key words

Abdominal angiography Arteries, mesenteric Gastrointestinal tract, blood supply Intestine, ischemia 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Boijsen VE, Hartel M: Kontrastmittelpassagezeiten im Versorgungsgebiet der Arteria mesenterica superior.Fortschr Geb Roentgenstr Nuklearmed 118: 491–498, 1973Google Scholar
  2. 2.
    Boijsen E, Redman HC: Effect of bradykinin on celiac and superior mesenteric angiography.Invest Radiol 1: 422–430, 1966Google Scholar
  3. 3.
    Scott, WW Jr, Harrington DP, Siegelman SS: Functional abnormalities of mesenteric blood flow. A guide to organic disease of the bowel.Gastrointest Radiol 1:367–374, 1977Google Scholar
  4. 4.
    Boijsen E, Reuter SR: Mesenteric angiography in the evaluation of inflammatory and neoplastic disease fo the intestine.Radiology 87:1028–1036, 1966Google Scholar
  5. 5.
    Casarella WJ, Galloway SJ, Taxin RN, Follett DA, Pollock EJ, Seaman WB: ldLower” gastrointestinal tract hemorrhage: New concepts based on arteriography.Am J Roentgenol Radium Ther Nucl Med 121: 357–368, 1974Google Scholar
  6. 6.
    Sheedy PF, Fulton RE, Atwell DT: Angiographic evaluation of patients with chronic gastrointestinal bleeding.Am J Roentgenol Radium Ther Nucl Med 123: 338–347, 1975Google Scholar
  7. 7.
    Williams, LF, Anastasia LF, Hasiotis CA, Bosniak MA, Byrne JJ: Experimental non-occlusive mesenteric ischemia: Physiologic and anatomic observations.Arch Surg 96:987–994, 1968Google Scholar
  8. 8.
    Williams LF, Grindlinger G: Hemodynamic effects of mesenteric ischemia. In:Vascular Disorders in the Intestine, SJ Boley, ed., pp 297–307 New York: Appleton-Century-Crofts 1971Google Scholar
  9. 9.
    Barth K, Strecker EP, Schmidt-Hieber M, Brobmann GF, Schmidt HA: Klinische und experimentelle Beiträge zum Krankheitsbild der non occlusive mesenteric ischemia.Radiologe 14: 431–434, 1974Google Scholar
  10. 10.
    Bosniak MA: Experimental in-vivo magnification intestinal angiography utilizing photographic enlargement techniques. In:Vascular Disorders of the Intestine, SJ Boley, ed., pp 257–271 New York: Appleton-Century-Crofts 1971Google Scholar
  11. 11.
    Athanasoulis CA, Wittenberg J, Bernstein R, Williams LF: Vasodilatory drugs in the management of nonocclusive bowel ischemia.Gastroenterology 69: 146–150, 1975Google Scholar
  12. 12.
    Siegelman SS, Sprayregen S, Boley SJ: Angiographic diagnosis of mesenteric arterial vasoconstriction.Radiology 112: 533–542, 1974Google Scholar
  13. 13.
    Voegeli E, Binswanger R: Angiographie bei akuten Dünndarmischämien.Schweiz Med Wochenschr 105: 1258–1263, 1975Google Scholar
  14. 14.
    Wittenberg J, Athanasoulis CA, Shapiro JH, Williams LF: A radiological approach to the patients with acute, extensive bowel ischemia.Radiology 106: 13–24, 1973Google Scholar
  15. 15.
    Boley SJ, Sprayregen S, Veith FJ, Siegelman SS: An aggressive roentgenologic and surgical approach to acute mesenteric ischemia. In:Surgery Annual, Vol. 5, LM Nyhus, ed., pp 355–378 New York: Appleton-Century-Crofts 1973Google Scholar
  16. 16.
    Macgregor AMC, Abney HT, Morris L: Pharmacodynamic response in nonocclusive mesenteric ischemia.Am Surg 40:381–384, 1974Google Scholar
  17. 17.
    Lord RSA, Ryan JM, Tracy GD: Non-occlusive mesenteric ischemia.Med J Aust 1: 567–571, 1972Google Scholar

Copyright information

© Springer-Verlag New York Inc 1978

Authors and Affiliations

  • Klemens H. Barth
    • 1
  • William W. ScottJr.
    • 1
  • Donald P. Harrington
    • 1
  • Stanley S. Siegelman
    • 1
  1. 1.Department of Radiology and Radiological ScienceThe Johns Hopkins Medical InstitutionsBaltimoreUSA

Personalised recommendations