Anatomie und Physiologie im Splanchnikusgebiet

Schwilden, E.-D.

doi:10.1007/s00772-006-0461-4

Cited by 5 publications

(1 citation statement)

References 13 publications

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“…Von allen Ästen des Truncus coeliacus weist die A. hepatica communis mit 20-30% die häufigsten Anlagevariationen auf. So wird in 3-5% ein Abgang aus der AMS gefunden, der dann als Truncus hepaticomesentericus bezeichnet wird; viel häufiger jedoch (12-18%) erfolgt die arterielle Perfusion der Leber gemeinsam durch das AMS-und das Zöliakusstromgebiet [16] …”

Section: Truncus Coeliacusunclassified

Akute intestinale Ischämie

Debus

Diener

Larena-Avellaneda³

2009

Chirurg

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Etiologically, therapeutically and prognostically, acute mesenteric ischemia is distinguished from chronic splanchnic ischemia. Acute mesenteric ischemia always is a case of emergency and associated with a 60-80% lethality. Difficult diagnosis, combined rapid progression of ischemic tissue loss and bacterial translocation are the main reasons for this depressing situation. Furthermore, obvious deficits in management and professional treatment are concomitant reasons. Only by intervening these factors prognosis of this deleting disease can be optimized.The main vessel, causing symptoms in 85%, is the superior mesenteric artery. Severe courses are characterized by abdominal rest pain and tissue lesions. In all symptomatic cases we see an indication for invasive treatment. CT-angiography with 3D-reconstruction is the diagnostic tool of choice. Today, conventional angiography only plays a role in combination with endovascular treatment (catheter-derived infusion therapy, lysis, PTA, stent). Duplex sonography should be performed, since this technique reveals relevant insight in hemodynamic severity of the lesion. However, diagnostic accuracy often is restricted due to air-filled bowels.

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Section: Truncus Coeliacusunclassified

Akute intestinale Ischämie

Debus

Diener

Larena-Avellaneda³

2009

Chirurg

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Viszeralarterien

Luther

Müller‐Hülsbeck²,

Debus

2012

Operative Und Interventionelle Gefäßmedizin

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Bildgebende Darstellung viszeraler Gefäße

et al. 2017

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Visceral vessel processes are primarily or secondarily included in a multitude of clinical abdominal symptoms, with which the specialist in internal medicine is confronted. The spectrum ranges from more sharply outlined manifestations, such as chronic ischemic bowel disease up to dysfunctional disturbances of blood pressure regulation, such as high-grade renal artery stenosis. Sometimes diseases with prognostic implications, such as arterial aneurysms, are revealed as incidental findings. As a rule the B‑mode and duplex ultrasound can often be complemented by computed tomography (CT) and magnetic resonance imaging (MRI), as in aneurysms or portal vein thrombosis or the indications for subsequent digital subtraction angiography (DSA) and catheter-based therapy can be directly obtained from duplex and Doppler ultrasound. The present review article focuses on the use of these methods in the most important diseases, with the exception of acute abdomen because this requires further detailed etiological and diagnostic systematization.

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Anatomie und Physiologie im Splanchnikusgebiet

Cited by 5 publications

References 13 publications

Akute intestinale Ischämie

Akute intestinale Ischämie

Viszeralarterien

Bildgebende Darstellung viszeraler Gefäße

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