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Twenty-Four Hour Tonometry in Patients Suspected of Chronic Gastrointestinal Ischemia

BACKGROUND AND AIMS: Gastrointestinal tonometry is currently the only clinical diagnostic test that enables identification of symptomatic chronic gastrointestinal ischemia. Gastric exercise tonometry has proven its value for detection of ischemia in this patients group, but has its disadvantages. Ea...

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Autores principales: Mensink, Peter B. F., Geelkerken, Robert H., Huisman, Ad B., Kuipers, Ernst J., Kolkman, Jeroen J.
Formato: Texto
Lenguaje:English
Publicado: Springer US 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2140097/
https://www.ncbi.nlm.nih.gov/pubmed/17530402
http://dx.doi.org/10.1007/s10620-007-9833-1
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author Mensink, Peter B. F.
Geelkerken, Robert H.
Huisman, Ad B.
Kuipers, Ernst J.
Kolkman, Jeroen J.
author_facet Mensink, Peter B. F.
Geelkerken, Robert H.
Huisman, Ad B.
Kuipers, Ernst J.
Kolkman, Jeroen J.
author_sort Mensink, Peter B. F.
collection PubMed
description BACKGROUND AND AIMS: Gastrointestinal tonometry is currently the only clinical diagnostic test that enables identification of symptomatic chronic gastrointestinal ischemia. Gastric exercise tonometry has proven its value for detection of ischemia in this patients group, but has its disadvantages. Earlier studies with postprandial tonometry gave unreliable results. In this study we challenged (again) the use of postprandial tonometry in patients suspected of gastrointestinal ischemia. METHODS: Patients suspected for chronic gastrointestinal ischemia had standard diagnostic work up, including gastric exercise tonometry and 24-h tonometry using standard meals. RESULTS: Thirty-three patients were enrolled in the study. Chronic gastrointestinal ischemia was diagnosed in 17 (52%) patients. The 24-h tonometry correctly predicted the presence of ischemia in 13/17 patients, and absence of ischemia in 15/16 patients. CONCLUSIONS: The use of 24-h tonometry after meals in patients suspected of gastrointestinal ischemia seems feasible, with promising accuracy for the detection of ischemia.
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spelling pubmed-21400972007-12-17 Twenty-Four Hour Tonometry in Patients Suspected of Chronic Gastrointestinal Ischemia Mensink, Peter B. F. Geelkerken, Robert H. Huisman, Ad B. Kuipers, Ernst J. Kolkman, Jeroen J. Dig Dis Sci Original Paper BACKGROUND AND AIMS: Gastrointestinal tonometry is currently the only clinical diagnostic test that enables identification of symptomatic chronic gastrointestinal ischemia. Gastric exercise tonometry has proven its value for detection of ischemia in this patients group, but has its disadvantages. Earlier studies with postprandial tonometry gave unreliable results. In this study we challenged (again) the use of postprandial tonometry in patients suspected of gastrointestinal ischemia. METHODS: Patients suspected for chronic gastrointestinal ischemia had standard diagnostic work up, including gastric exercise tonometry and 24-h tonometry using standard meals. RESULTS: Thirty-three patients were enrolled in the study. Chronic gastrointestinal ischemia was diagnosed in 17 (52%) patients. The 24-h tonometry correctly predicted the presence of ischemia in 13/17 patients, and absence of ischemia in 15/16 patients. CONCLUSIONS: The use of 24-h tonometry after meals in patients suspected of gastrointestinal ischemia seems feasible, with promising accuracy for the detection of ischemia. Springer US 2007-05-26 2008-01 /pmc/articles/PMC2140097/ /pubmed/17530402 http://dx.doi.org/10.1007/s10620-007-9833-1 Text en © Springer Science+Business Media, LLC 2007
spellingShingle Original Paper
Mensink, Peter B. F.
Geelkerken, Robert H.
Huisman, Ad B.
Kuipers, Ernst J.
Kolkman, Jeroen J.
Twenty-Four Hour Tonometry in Patients Suspected of Chronic Gastrointestinal Ischemia
title Twenty-Four Hour Tonometry in Patients Suspected of Chronic Gastrointestinal Ischemia
title_full Twenty-Four Hour Tonometry in Patients Suspected of Chronic Gastrointestinal Ischemia
title_fullStr Twenty-Four Hour Tonometry in Patients Suspected of Chronic Gastrointestinal Ischemia
title_full_unstemmed Twenty-Four Hour Tonometry in Patients Suspected of Chronic Gastrointestinal Ischemia
title_short Twenty-Four Hour Tonometry in Patients Suspected of Chronic Gastrointestinal Ischemia
title_sort twenty-four hour tonometry in patients suspected of chronic gastrointestinal ischemia
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2140097/
https://www.ncbi.nlm.nih.gov/pubmed/17530402
http://dx.doi.org/10.1007/s10620-007-9833-1
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