| 词条 | Abdominal angina |
| 释义 |
| name = Abdominal angina | synonyms = Intestinal angina | field = General surgery | symptoms = | complications = | onset = | duration = | types = | causes = | risks = | diagnosis = | differential = | prevention = | treatment = | medication = | prognosis = | frequency = | deaths = }} Abdominal angina is abdominal pain after eating that occurs in individuals with ongoing poor blood supply to their small intestines known as chronic mesenteric ischemia.[1] Although the term angina alone usually denotes angina pectoris (a type of chest pain due to obstruction of the coronary artery), angina by itself can also mean "any spasmodic, choking, or suffocative pain",[2] with an anatomic adjective defining its focus; so, in this case, spasmodic pain in the abdomen. Stedman's Medical Dictionary Online[3] defines abdominal angina as "intermittent abdominal pain, frequently occurring at a fixed time after eating, caused by inadequacy of the mesenteric circulation resulting from arteriosclerosis or other arterial disease. Synonym: intestinal angina." Signs and symptoms
CausesSmoking is an associated risk factor. In most series, approximately 75–80% of patients smoke.{{Citation needed|date=October 2007}} PathophysiologyThe pathophysiology is similar to that seen in angina pectoris and intermittent claudication. The most common cause of abdominal angina is atherosclerotic vascular disease, where the occlusive process commonly involves the ostia and the proximal few centimeters of the mesenteric vessels. It can be associated with:
Epidemiology
TreatmentStents have been used in the treatment of abdominal angina.[7][8]See also
References1. ^{{cite journal |vauthors =Kapadia S, Parakh R, Grover T, Agarwal S |title=Side-to-side aorto-mesenteric anastomosis for management of abdominal angina |journal=Indian Journal of Gastroenterology |volume=24 |issue=6 |pages=256–7 |year=2005 |pmid=16424623 |doi=}} 2. ^{{Citation |author=Elsevier |authorlink=Elsevier |title=Dorland's Illustrated Medical Dictionary |publisher=Elsevier |url=http://dorlands.com/ |postscript=.}} 3. ^{{Citation |author=Wolters Kluwer |authorlink=Wolters Kluwer |title=Stedman's Medical Dictionary |publisher=Wolters Kluwer |url=http://stedmansonline.com/ |postscript=.}} 4. ^{{cite journal |vauthors =deVries H, Wijffels RT, Willemse PH |title=Abdominal angina in patients with a midgut carcinoid, a sign of severe pathology |journal=World Journal of Surgery |volume=29 |issue=9 |pages=1139–42 |year=2005 |pmid=16086212 |doi=10.1007/s00268-005-7825-x|display-authors=etal}} 5. ^{{cite journal |vauthors =Ingu A, Morikawa M, Fuse S, Abe T |title=Acute occlusion of a simple aortic coarctation presenting as abdominal angina |journal=Pediatric cardiology |volume=24 |issue=5 |pages=488–9 |year=2003 |pmid=14627320 |doi=10.1007/s00246-002-0381-3}} 6. ^{{cite journal |vauthors =Choi BG, Jeon HS, Lee SO, Yoo WH, Lee ST, Ahn DS |title=Primary antiphospholipid syndrome presenting with abdominal angina and splenic infarction |journal=Rheumatol. Int. |volume=22 |issue=3 |pages=119–21 |year=2002 |pmid=12111088 |doi=10.1007/s00296-002-0196-9}} 7. ^{{cite journal |vauthors =Senechal Q, Massoni JM, Laurian C, Pernes JM |title=Transient relief of abdominal angina by Wallstent placement into an occluded superior mesenteric artery |journal=The Journal of cardiovascular surgery |volume=42 |issue=1 |pages=101–5 |year=2001 |pmid=11292915 |doi=}} 8. ^{{cite journal |author =Busquet J |title=Intravascular stenting in the superior mesenteric artery for chronic abdominal angina |journal=Journal of Endovascular Surgery |volume=4 |issue=4 |pages=380–4 |year=1997 |pmid=9418203 |doi=10.1583/1074-6218(1997)004<0380:ISITSM>2.0.CO;2 |issn=1074-6218}} External links{{Medical resources| ICD10 = {{ICD10|K|55||k|55}} | ICD9 = {{ICD9|557.1}} }}{{Gastroenterology}} 1 : Pain |
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