Comment on "the role of endoscopic ultrasound in the evaluation of chronic mesenteric ischaemia"

Antonio Grieco, Marco Biolato

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

We read with great interest the article by Almansa et al. published in Digestive and Liver Disease regarding the role of Doppler endoscopic ultrasound as a comprehensive test to evaluate patients with chronic upper abdominal pain in order to exclude chronic mesenteric ischaemia [1]. In this study, authors employed, both in Doppler endoscopic ultrasound and Dopper transabdominal ultrasound, measurement of Peak Systolic Velocity (PSV) in celiac artery and superior mesenteric artery as single parameter for the detection of chronic mesenteric ischaemia. We would add that, beside PSV, another Doppler parameter could be considered: End-Diastolic Velocity (EDV) appears comparable or superior to PSV in identify significant arteriography-detected stenosis, and is not influenced by an hyperdynamic circulation as for PSV [2], [3], [4] and [5]. In the study of Almansa et al., Doppler endoscopic ultrasound (assessed by means of PSV) presented a specificity of 84% in detecting chronic mesenteric ischaemia; this figure could be even more appealing employing EDV.
Lingua originaleEnglish
pagine (da-a)86-86
Numero di pagine1
RivistaDigestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
Volume44
Stato di pubblicazionePubblicato - 2012

Keywords

  • mesenteric ischaemia
  • ultrasound

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