Author/Editor		Starc, Radovan; Norčič, Gregor; Starc-Telič, Saša
Title		Abdominalna angina
Translated title		Abdominal angina
Type		članek
Source		In: Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 13. mednarodni simpozij o urgentni medicini; 2006 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2006
Volume		str. 292-4
Language		slo
Abstract		Chronic mesenteric angina or intestinal angina is a clinical syndrorne of reduced mesenteric blood flow that interferes with physiologic function but does not cause infarction. Chronic mesenteric angina is the result of intestinal hypoperfusion through significant stenosis or occlusion of two out of three major arteries supplying the intestine (celiac artery, superior and inferior mesenteric arteries). Patients complain of postprandial abdominal pain with a fixed interval 15-30 minutes after meal, fear of eating and weight loss. The current gold standard to diagnose mesenteric angina is biplane aortography, while mesenteric Duplex ultrasound examination is emerging as a useful screening modality. Treatment consists of antiatherosclerotic recommendations, drugs (antiaggregation agents, statins, antidiabetics, antihypertensive drugs), percutaneous angioplasty and surgical revascularization. The contribution illlustrates an interesting case of 43 years old patient with abdominal pain and delayed diagnosis of chronic mesenteric angina.
Descriptors		MESENTERIC VASCULAR OCCLUSION ADULT