BACKGROUND-Acute mesenteric ischemia represents a life-threatening gastrointestinal condition. A noninvasive diagnostic modality that identifies mesenteric ischemia patients early in the disease process will enable early surgical intervention. Previous studies have identified significant changes in the small bowel electrical slow wave (SW) parameters during intestinal ischemia caused by total occlusion of the superior mesenteric artery (SMA). The purpose of this study was to employ noninvasive biomagnetic techniques to assess functional physiological changes in intestinal slow waves in response to partial mesenteric ischemia.
METHODS-We induced progressive intestinal ischemia in normal porcine subjects (N=10) by slowly increasing the occlusion of the superior mesenteric artery at the following percentages of baseline flow: 50%, 75%, 90% and 100% while simultaneous transabdominal magnetoenterogram (MENG) and serosal electromyogram (EMG) recordings were being obtained. RESULTS-A statistically significant serosal EMG amplitude decrease was observed at 100% occlusion compared to baseline while no significant change was observed for MENG amplitude at any progressive occlusion levels. MENG recordings showed significant changes in the frequency and percentage of power distributed (PPD) in brady-and normoenteric frequency ranges at 50%, 75%, 90% and 100% vessel occlusions. In serosal EMG recordings, a similar PPD effect was