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ИНТЕРНЕТ-МАГАЗИН
Издательство Атмосфера


Телефон издательства

  
Лечебное дело
2020 / N 4

Синдром хронической абдоминальной ишемии
М.М. Мутаев, А.А. Щеголев, С.А. Папоян, О.М. Мутаев, А.А. Ведерников

Список литературы

1. Вaccelli G. Patologia del cuore e dell’aorta. 3-vol. set. Roma: Stab. Tip. Giuseppe Via. III. 1867.
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3. Mikkelsen WP. Intestinal angina: its surgical significance. American Journal of Surgery 1957 Aug;94(2):262-7; discussion 267-9.
4. Heard G, Jefferies JD, Peters DK. Chronic intestinal ischemia: successful aorta/superior – mesenteric bypass. The Lancet 1963 Nov;2(7315):975-8.
5. Vollmar J. Rekonstruktive Chirurgie der Arterien. Stuttgart: Georg Thieme Verlage; 1967. 426 p.
6. Шальков Ю.Л. Диагностика и хирургическое лечение хронических нарушений абдоминального артериального кровотока: Дис. … докт. мед. наук. Харьков, 1970. 340 c.
7. Кротовский Г.С. Хирургия окклюзионных поражений ветвей брюшной аорты (почечных, чревных и верхней брыжеечной артерий): Дис. … докт. мед. наук. М., 1974. 278 с.
8. Stoney RJ, Ehrenfeld WK, Wylie EJ. Revascularization methods in chronic visceral ischemia caused by atherosclerosis. Annals of Surgery 1977 Oct;186(4):468-76.
9. Покровский А.В. Заболевания аорты и ее ветвей. М: Медицина; 1979. 324 c.
10. Шалимов А.А., Дрюк Н.Ф. Хронические окклюзии висцеральных артерий (висцерально-ишемический синдром). В кн.: Хирургия аорты и магистральных артерий. Киев: Здоров’я; 1979: 167-78.
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13. Numan U, Ivancev К, Lindh M, Uher P. Endovascular treatment of chronic mesenteric ischemia: report of five cases. Cardiovascular and Interventional Radiology 1998 Jul-Aug;21(4):305-13.
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16. Shaws RS, Maynard EP 3rd. Acute and chronic thrombosis of mesenteric arteries associated with malabsorption: a report of two cases successfully treated by thromo-endarterectomy. The New England Journal of Medicine 1958 May;258(18):874-8.
17. Furrer JJ, Grüntzig A, Kugelmeier J, Goebel N. Treatment of abdominal angina with percutaneous dilatation of an arteria mesenterica superior stenosis. Cardiovascular and Interventional Radiology 1980;3(1):43-4.
18. Mensink PB, Moons LMG, Kuipers EJ. Chronic gastrointestinal ischaemia: shifting paradigms. Gut 2011 May;60(5):722-37.
19. Alahdab F, Arwani R, Pasha AK, Razouki ZA, Prokop LJ, Huber TS, Murad MH. A systematic review and meta-analysis of endovascular versus open surgical revascularization for chronic mesenteric ischemia. Journal of Vascular Surgery 2018 May;67(5):1598-605.
20. Clair DG, Beach JM. Mesenteric ischemia. The New England Journal of Medicine 2016 Mar;374(10):959-68.
21. Roobottom CA, Dubbins PA. Significant disease of the celiac and superior mesenteric arteries in asymptomatic patients: predictive value of Doppler sonography. AJR. American Journal of Roentgenology 1993 Nov;161(5):985-8.
22. Wilson DB, Mostafavi K, Craven TE, Ayerdi J, Edwards MS, Hansen KJ. Clinical course of mesenteric artery stenosis in elderly Americans. Archives of Internal Medicine 2006 Oct;166(19):2095-100.
23. Park CM, Chung JW, Kim HB, Shin SJ, Park JH. Celiac axis stenosis: incidence and etiologies in asymptomatic individuals. Korean Journal of Radiology 2001 Jan-Mar;2(1):8-13.
24. Mensink PB, van Petersen AS, Geelkerken RH, Otte JA, Huisman AB, Kolkman JJ. Clinical significance of splanchnic artery stenosis. The British Journal of Surgery 2006 Nov;93(11):1377-82.
25. van Noord D, Kuipers EJ, Mensink PB. Single vessel abdominal arterial disease. Best Practice & Research: Clinical Gastroenterology 2009 Jan;23(1):49-60.
26. van Dijk LJD, Moons LMG, van Noord D, Moelker A, Verhagen HJM, Bruno MJ, Rouwet EV. Persistent symptom relief after revascularization in patients with single-artery chronic mesenteric ischemia. Journal of Vascular Surgery 2018 Sep;68(3):779-85.
27. Otte JA, Geelkerken RH, Oostveen E, Mensink PB, Huisman AB, Kolkman JJ. Clinical impact of gastric exercise tonometry on diagnosis and management of chronic gastrointestinal ischemia. Clinical Gastroenterology and Hepatology 2005 Jul;3(7):660-6.
28. Kim EN, Lamb K, Relles D, Moudgill N, DiMuzio PJ, Eisenberg JA. Median arcuate ligament syndrome – review of this rare disease. JAMA Surgery 2016 May;15(5):471-7.
29. Petnys A, Puech-Leão P, Eduardo Zerati AE, Ritti-Dias RM, Nahas WC, Neto ED, De Luccia N. Prevalence of signs of celiac axis compression by the median arcuate ligament on computed tomography angiography in asymptomatic patients. Journal of Vascular Surgery 2018 Dec;68(6):1782-7.
30. Kazan V, Qu W, Al-Natour M, Abbas J, Nazzal M. Celiac artery compression syndrome: a radiological finding without clinical symptoms? Vascular 2013 Oct;21(5):293-9.
31. Soman S, Sudhakar SV, Keshava SN. Celiac axis compression by median arcuate ligament on computed tomography among asymptomatic persons. Indian Journal of Gastroenterology 2010 Jun;29(3):121-3.
32. Mensink PB, van Petersen AS, Kolkman JJ, Otte JA, Huisman AB, Geelkerken RH. Gastric exercise tonometry: the key investigation in patients with suspected celiac artery compression syndrome. Journal of Vascular Surgery 2006 Aug;44(2):277-81.
33. Grotemeyer D, Duran M, Iskandar F, Blondin D, Nguyen K, Sandmann W. Median arcuate ligament syndrome: vascular surgical therapy and follow-up of 18 patients. Langenbeck’s Archives of Surgery 2009 Nov;394(6):1085-92.
34. Baccari P, Civilini E, Dordoni L, Melissano G, Nicoletti R, Chiesa R. Celiac artery compression syndrome managed by laparoscopy. Journal of Vascular Surgery 2009 Jul;50(1):134-9.
35. Van Petersen AS, Vriens BH, Huisman AB, Kolkman JJ, Geelkerken RH. Retroperitoneal endoscopic release in the management of celiac artery compression syndrome. Journal of Vascular Surgery 2009 Jul;50(1):140-7.
36. Roseborough GS. Laparoscopic management of celiac artery compression syndrome. Journal of Vascular Surgery 2009 Jul;50(1):124-33.
37. Oderich GS, Tallarita T, Gloviczki P, Duncan AA, Kalra M, Misra S, Cha S, Bower TC. Mesenteric artery complications during angioplasty and stent placement for atherosclerotic chronic mesenteric ischemia. Journal of Vascular Surgery 2012 Apr;55(4):1063-71.
38. Harnik IG, Brandt LJ. Mesenteric venous thrombosis. Vascular Medicine 2010 Oct;15(5):407-18.
39. Orr DW, Harrison PM, Devlin J, Karani JB, Kane PA, Heaton ND, O’Grady JG, Heneghan MA. Chronic mesenteric venous thrombosis: evaluation and determinants of survival during long-term follow-up. Clinical Gastroenterology and Hepatology 2007 Jan;5(1):80-6.
40. Kolkman JJ, Bargeman M., Huisman AB, Geelkerken RH. Diagnosis and management of splanchnic ischemia. World Journal of Gastroenterology 2008 Dec;14(48):7309-20.
41. Harki J, Vergouwe Y, Spoor JA, Mensink PB, Bruno MJ, van Noord D, Kuipers EJ, Tjwa ETTL. Diagnostic accuracy of the combination of clinical symptoms and CT or MR angiography in patients with chronic gastrointestinal ischemia. Journal of Clinical Gastroenterology 2017 Jul;51(6):e39-47.
42. Wilcox MG, Howard TJ, Plaskon LA, Unthank JL, Madura JA. Current theories of pathogenesis and treatment of nonocclusive mesenteric ischemia. Digestive Diseases and Sciences 1995 Apr;40(4):709-16.
43. Mohammed A, Teo NB, Pickford IR, Moss JG. Percutaneous transluminal angioplasty and stenting of coeliac artery stenosis in the treatment of mesenteric angina: a case report and review of therapeutic options. Journal of the Royal College of Surgeons of Edinburgh 2000 Dec;45(6):403-7.
44. Busquet J. Intravascular stenting in the superior mesenteric artery for chronic abdominal angina. Journal of Endovascular Surgery 1997 Nov;4(4):380-4.
45. Hunter GG, Guernsey JM. Mesenteric ischemia. The Medical Clinics of North America 1988 Sep;2(5):1091-115.
46. Patel В, Widdowson J, Smith RC. Superior mesenteric artery bypass for chronic mesenteric ischaemia: a DGH experience. Journal of the Royal College of Surgeons of Edinburgh 2000 Oct;45(5):285-7.
47. ter Steege RWF, Sloterdijk HS, Geelkerken RH, Huisman АВ, van der Palen J, Kolkman JJ. Splanchnic artery stenosis and abdominal complaints: clinical history is of limited value in detection of gastrointestinal ischemia. World Journal of Surgery 2012 Apr;36(4):793-9.
48. Moawad J, Gewertz BL. Chronic mesenteric ischemia. Clinical presentation and diagnosis. The Surgical Clinics of North America 1997 Apr;77(2):357-69.
49. Sana A, Vergouwe Y, van Noord D, Moons LMG, Pattynama PMT, Verhagen HJM, Kuipers EJ, Mensink PBF. Radiological imaging and gastrointestinal tonometry add value in diagnosis of chronic gastrointestinal ischemia. Clinical Gastroenterology and Hepatology 2011 Mar;9(3):234-41.
50. Björck M, Koelemay M, Acosta S, Bastos Goncalves F, Kölbel T, Kolkman JJ, Lees T, Lefevre JH, Menyhei G, Oderich G; ESVS Guidelines Committee; Kolh P, de Borst GJ, Chakfe N, Debus S, Hinchliffe R, Kakkos S, Koncar I, Lindholt JS, Vega de Ceniga M, Vermassen F, Verzini F; Document Reviewers; Geelkerken B, Gloviczki P, Huber T, Naylor R. Management of the diseases of mesenteric arteries and veins: clinical practice guidelines of the European Society of Vascular Surgery (ESVS). European Journal of Vascular and Endovascular Surgery 2017 Apr;53(4):460-510.
51. Rutjes AWS, Reitsma JB, Coomarasamy A, Khan KS, Bossuyt PMM. Evaluation of diagnostic tests when there is no gold standard. A review of methods. Health Technology Assessment (Winchester, England) 2007;11:iii, ix–51.
52. van Noord D, Sana A, Moons LM, Pattynama PM, Verhagen HJ, Kuipers EJ, Mensink PB. Combining radiological imaging and gastrointestinal tonometry: a minimal invasive and useful approach for the workup of chronic gastrointestinal ischemia. European Journal of Gastroenterology and Hepatology 2013 Jun;25(6):719-25.
53. Schaefer PJ, Pfarr J, Trentmann J, Wulff AM, Lange Cr, Siggelkow M, Groß J, Knabe H, Schaefer FKW. Comparison of noninvasive imaging modalities for stenosis grading in mesenteric arteries. Rofo 2013 Jul;185(7):628-34.
54. Cademartiri F, Palumbo A, Maffei E, Martini C, Malagò R, Belgrano M, La Grutta L, Bartolotta TV, Luccichenti G, Midiri M, Raaijmakers R, Mollet N, Zompatori M, Crisi G. Noninvasive evaluation of the celiac trunk and superior mesenteric artery with multislice CT in patients with chronic mesenteric ischaemia. La Radiologia Medica 2008 Dec;113(8):1135-42.
55. Shirkhoda A, Konez O, Shetty AN, Bis KG, Ellwood RA, Kirsch MJ. Mesenteric circulation: three-dimensional MR angiography with a gadolinium-enhanced multiecho gradient-echo technique. Radiology 1997 Jan;202(1):257-61.
56. Fidelman N, AbuRahma AF, Cash BD. ACR Appropriateness Criteria® radiologic management of mesenteric ischemia. Journal of the American College of Radiology 2017 May;14(5 Suppl):S266-71.
57. Pillai AK, Kalva SP, Hsu SL, Walker TG, Silberzweig JE, Annamalai G, Baerlocher MO, Mitchell JW, Midia M, Nikolic B, Dariushnia SR; Society of Interventional Radiology Standards of Practice Committee. Quality improvement guidelines for mesenteric angioplasty and stent placement for the treatment of chronic mesenteric ischemia. Journal of Vascular and Interventional Radiology 2018 May;29(5):642-7.
58. van Dijk LJ, van Petersen AS, Moelker A. Vascular imaging of the mesenteric vasculature. Best Practice & Research: Clinical Gastroenterology 2017 Feb;31(1):3-14.
59. van Noord D, Kolkman JJ. Functional testing in the diagnosis of chronic mesenteric ischemia. Best Practice & Research: Clinical Gastroenterology 2017 Feb;31(1):59-68.
60. van Noord D, Mensink PB, de Knegt RJ, Ouwendijk M, Francke J, van Vuuren AJ, Hansen BE, Kuipers E. Serum markers and intestinal mucosal injury in chronic gastrointestinal ischemia. Digestive Diseases and Sciences 2011 Feb;56(2):506-12.
61. Mensink PB, Hol L, Borghuis-Koertshuis N, Geelkerken RH, Huisman AB, Doelman CJA, van Vuuren AJ, Kuipers EJ, Kolkman JJ. Transient postprandial ischemia is associated with increased intestinal fatty acid binding protein in patients with chronic gastrointestinal ischemia. European Journal of Gastroenterology and Hepatology 2009 Mar;21(3):278-82.
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67. Покровский А.В., Казанчян П.О., Дюжиков А.А. Диагностика и лечение хронической ишемии органов пищеварения. Ростов-на-Дону: Издательство Ростовского университета; 1982. 220 с.
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70. van Dijk LJ, van Noord D, de Vries AC, Kolkman JJ, Geelkerken RH, Verhagen HJ, Moelker A, Bruno MJ. Clinical management of chronic mesenteric ischemia. United European Gastroenterology Journal 2019 Mar;7(2):179-88.
71. Aboyans V, Ricco JB, Bartelink MLEL, Björck M, Brodmann M, Cohnert T, Collet JP, Czerny M, De Carlo M, Debus S, Espinola-Klein C, Kahan T, Kownator S, Mazzolai L, Naylor AR, Roffi M, Röther J, Sprynger M, Tendera M, Tepe G, Venermo M, Vlachopoulos C, Desormais I; Document Reviewers; Widimsky P, Kolh P, Agewall S, Bueno H, Coca A, De Borst GJ, Delgado V, Dick F, Erol C, Ferrini M, Kakkos S, Katus HA, Knuuti J, Lindholt J, Mattle H, Pieniazek P, Piepoli MF, Scheinert D, Sievert H, Simpson I, Sulzenko J, Tamargo J, Tokgozoglu L, Torbicki A, Tsakountakis N, Tuñón J, de Ceniga MV, Windecker S, Zamorano JL. 2017 ESC Guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS). European Journal of Vascular and Endovascular Surgery 2018 Mar;55(3):305-68.
72. Zettervall SL, Lo RC, Soden PA, Deery SE, Ultee KH, Pinto DS, Wyers MC, Schermerhorn ML. Trends in treatment and mortality for mesenteric ischemia in the United States from 2000 to 2012. Annals of Vascular Surgery 2017 Jul;42:111-9.
73. Christensen MG, Lorentsen JE, Schroeder TV. Revascularisation of atherosclerotic mesenteric arteries: experience in 90 consecutive patients. European Journal of Vascular Surgery 1994;8:297-302.
74. Sheeran SR, Murphy Т, Khwaja A, Sussman SK, Hallisey MJ. Stent placement for treatment of mesenteric artery stenosis or occlusions. Journal of Vascular and Interventional Radiology 1999;10:861-7.
75. Steinmetz E, Tatou E, Favier-Blavoux C, Bouchot O, Cognet F, Cercueil JP, Krause D, David M, Brenot R. Endovascular treatment as first choice in chronic intestinal ischemia. Annals of Vascular Surgery 2002 Nov;16(6):693-9.
76. De Quadros AS, Sarmento-Leite R, Moraes CV, Yordi LM. Stent implantation in critical stenosis of the celiac trunk: enlarging the frontiers of percutaneous vascular intervention. Arquivos Brasileiros de Cardiologia 2004 Nov;83(5):445-7.
77. McShane M, Proctor A, Spencer P, Cumberland D, Welsh C. Mesenteric angioplasty for chronic intestinal ischaemia. European Journal of Vascular Surgery 1992 May;6(3):333-6.
78. Oderich GS, Gloviczki P, Bower TC. Open surgical treatment for chronic mesenteric ischemia in the endovascular era: when it is necessary and what is the preferred technique? Seminars in Vascular Surgery 2010 Mar;23(1):36-46.
79. Schermerhorn ML, Giles KA, Hamdan AD, Wyers MC, Pomposelli FB. Mesenteric revascularization: management and outcomes in the United States, 1988–2006. Journal of Vascular Surgery 2009 Aug;50(2):341-8.e1.
80. Levy PJ, Haskell L, Gordon RL. Percutaneus transluminal angioplasty of splanchnic arteries: an alternative method to elective revascularisation in chronic visceral ischaemia. European Journal of Radiology 1987 Nov;7(4):239-42.
81. Fischman AM, Swinburne NC, Patel RS. A technical guide describing the use of transradial access technique for endovascular interventions. Techniques in Vascular & Interventional Radiology 2015 Jun;18(2):58-65.
82. Takach TJ, Livesay JJ, Reul GJ, Cooley DA. Celiac compression syndrome: tailored therapy based on intraoperative findings. Journal of the American College of Surgeons 1996 Dec;183(6):606-10.
83. Jimenez JC, Harlander-Locke M, Dutson EP. Open and laparoscopic treatment of median arcuate ligament syndrome. Journal of Vascular Surgery 2012 Sep;56(3):869-73.
84. Oderich GS, Bower TC, Sullivan TM, Bjarnason H, Cha S, Gloviczki P. Open versus endovascular revascularization for chronic mesenteric ischemia: risk-stratified outcomes. Journal of Vascular Surgery 2009 Jun;49(6):1472-9.e3.
85. Saedon M, Saratzis A, Karim A, Goodyear S. Endovascular versus surgical revascularization for the management of chronic mesenteric ischemia. Journal of Vascular and Endovascular Surgery 2015 Jan-Feb;49(1-2):37-44.
86. Bulut T, Oosterhof-Berktas R, Geelkerken RH, Brusse-Keizer M, Stassen EJ, Kolkman JJ. Long-term results of endovascular treatment of atherosclerotic stenoses or occlusions of the coeliac and superior mesenteric artery in patients with mesenteric ischaemia. European Journal of Vascular and Endovascular Surgery 2017 Apr;53(4):583-90.
87. Gupta PK, Horan SM, Turaga KK, Miller WJ, Pipinos II. Chronic mesenteric ischemia: endovascular versus open revascularization. Journal of Endovascular Therapy 2010 Aug;17(4):540-9.
88. Reilly LM, Ammar AD, Stoney RJ, Ehrenfeld WK. Late results following operative repair for celiac artery compression syndrome. Journal of Vascular Surgery 1985 Jan;2(1):79-91.
89. Erben Y, Jean RA, Protack CD, Chiu AS, Liu S, Sumpio BJ, Miller SM, Sumpio BE. Improved mortality in treatment of patients with endovascular interventions for chronic mesenteric ischemia. Journal of Vascular Surgery 2018 Jun;67(6):1805-12.

References

1. Вaccelli G. Patologia del cuore e dell’aorta. 3-vol. set. Roma: Stab. Tip. Giuseppe Via. III. 1867.
2. Kryukov AN. Urgent symptomatology of internal diseases. Moscow, Leningrad: Biomedgiz; 1935. 130 p. (In Russian).
3. Mikkelsen WP. Intestinal angina: its surgical significance. American Journal of Surgery 1957 Aug;94(2):262-7; discussion 267-9.
4. Heard G, Jefferies JD, Peters DK. Chronic intestinal ischemia: successful aorta/superior – mesenteric bypass. The Lancet 1963 Nov;2(7315):975-8.
5. Vollmar J. Rekonstruktive Chirurgie der Arterien. Stuttgart: Georg Thieme Verlage; 1967. 426 p.
6. Shalkov YuL. Diagnostics and surgical treatment of chronic disorders of abdominal arterial blood flow [Dissertation for the Degree of Doctor of Medical Sciences]. Kharkov, 1970. 340 p. (In Russian).
7. Krotovskiy GS. Surgery of occlusal lesions of branches of abdominal aorta (renal, ventral and superior mesenteric arteries [Dissertation for the Degree of Doctor of Medical Sciences]. Moscow, 1974. 278 p. (In Russian).
8. Stoney RJ, Ehrenfeld WK, Wylie EJ. Revascularization methods in chronic visceral ischemia caused by atherosclerosis. Annals of Surgery 1977 Oct;186(4):468-76.
9. Pokrovskiy AV. Diseases of the aorta and its branches. Moscow: Meditsina; 1979. 324 p. (In Russian).
10. Shalimov AA, Dryuk NF. Chronic occlusions of visceral arteries (visceral-ischemic syndrome). In: Surgery of the aorta and major arteries. Kiev: Zdorovya; 1979: 167-78 (In Russian).
11. Potashov LV, Knyazev MD, Ignashov AM. Ischemic disease of digestive system. Leningrad: Meditsina; 1985. 216 p. (In Russian).
12. Gavrilenko AV, Kosenkov AN. Diagnosis and surgical treatment of chronic intestinal ischemia. Moscow: Graal; 2000. 169 p. (In Russian).
13. Numan U, Ivancev К, Lindh M, Uher P. Endovascular treatment of chronic mesenteric ischemia: report of five cases. Cardiovascular and Interventional Radiology 1998 Jul-Aug;21(4):305-13.
14. Cardiovascular surgery: guidelines. Burakovskiy VI, Bokeriya LA, editors. Moscow: Meditsina; 1989. 752 p. (In Russian).
15. Rabkin IKh. Guide to angiography. Moscow: Meditsina; 1977. 279 p. (In Russian).
16. Shaws RS, Maynard EP 3rd. Acute and chronic thrombosis of mesenteric arteries associated with malabsorption: a report of two cases successfully treated by thromo-endarterectomy. The New England Journal of Medicine 1958 May;258(18):874-8.
17. Furrer JJ, Grüntzig A, Kugelmeier J, Goebel N. Treatment of abdominal angina with percutaneous dilatation of an arteria mesenterica superior stenosis. Cardiovascular and Interventional Radiology 1980;3(1):43-4.
18. Mensink PB, Moons LMG, Kuipers EJ. Chronic gastrointestinal ischaemia: shifting paradigms. Gut 2011 May;60(5):722-37.
19. Alahdab F, Arwani R, Pasha AK, Razouki ZA, Prokop LJ, Huber TS, Murad MH. A systematic review and meta-analysis of endovascular versus open surgical revascularization for chronic mesenteric ischemia. Journal of Vascular Surgery 2018 May;67(5):1598-605.
20. Clair DG, Beach JM. Mesenteric ischemia. The New England Journal of Medicine 2016 Mar;374(10):959-68.
21. Roobottom CA, Dubbins PA. Significant disease of the celiac and superior mesenteric arteries in asymptomatic patients: predictive value of Doppler sonography. AJR. American Journal of Roentgenology 1993 Nov;161(5):985-8.
22. Wilson DB, Mostafavi K, Craven TE, Ayerdi J, Edwards MS, Hansen KJ. Clinical course of mesenteric artery stenosis in elderly Americans. Archives of Internal Medicine 2006 Oct;166(19):2095-100.
23. Park CM, Chung JW, Kim HB, Shin SJ, Park JH. Celiac axis stenosis: incidence and etiologies in asymptomatic individuals. Korean Journal of Radiology 2001 Jan-Mar;2(1):8-13.
24. Mensink PB, van Petersen AS, Geelkerken RH, Otte JA, Huisman AB, Kolkman JJ. Clinical significance of splanchnic artery stenosis. The British Journal of Surgery 2006 Nov;93(11):1377-82.
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