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| 1 | Diagnosis and management of splanchnic ischemia显示文摘Splanchnic or gastrointestinal ischemia is rare and randomized studies are absent. This review focuses on new developments in clinical presentation, diagnostic approaches, and treatments. Splanchnic ischemia can be caused by occlusions of arteries or veins and by physiological vasoconstriction during low-flow states. The prevalence of significant splanchnic arterial stenoses is high, but it remains mostly asymptomatic due to abundant collateral circulation. This is known as chronic splanchnic disease (CSD). Chronic splanchnic syndrome (CSS) occurs when ischemic symptoms develop. Ischemic symptoms are characterized by postprandial pain, fear of eating and weight loss. CSS is diagnosed by a test for actual ischemia. Recently, gastro-intestinal tonometry has been validated as a diagnostic test to detect splanchnic ischemia and to guide treatment. In single- vessel CSD, the complication rate is very low, but some patients have ischemic complaints, and can be treated successfully. In multi-vessel stenoses, the complication rate is considerable, while most have CSS and treatment should be strongly considered. CT and MR-based angiographic reconstruction techniques have emerged as alternatives for digital subtraction angiography for imaging of splanchnic vessels. Duplex ultrasound is still the first choice for screening purposes. The strengths and weaknesses of each modality will be discussed. CSS may be treated by minimally invasive endoscopic treatment of the celiac axis compression syndrome, endovascular antegrade stenting, or laparotomy-assisted retrograde endovascular recanalization and stenting.The treatment plan is highly individualized and is mainly based on precise vessel anatomy, body weight, co- morbidity and severity of ischemia. | Jeroen J Kolkman Marloes Bargeman Ad B Huisman Robert H Geelkerken | 2008 | World Journal of Gastroenterology2008，14，48： | 2 |
| 2 | The role of routines in the vacation decision-making process of Dutch vacationers 显示文摘 | Bargeman B Poel H V | 2006 | Tourism Management2006，27，4： | 1 |
| 3 | Stability of supported liquid membranes: State of the art显示文摘 | Bargeman D Strathmann H | 1996 | Sep Sci Technol1996，31，： | 1 |
| 4 | Stability of supported liquid membranes:state of the art 显示文摘 | Kemperman A J B Bargeman D Boomgaard T | 1996 | Sep Sei Teehnol1996，，31： | 1 |
| 5 | The Role of Routines in the Vaca-tion Decision-making Process of Dutch Vacationers 显示文摘 | Bargeman B Poel V | 2006 | Tourism Management2006，27，4： | 1 |
| 6 | Stability of supported liquid membranes: State of the art 显示文摘 | KEMPERMAN A J B BARGEMAN D BOOMGAARD T | 1996 | Sep Sci Technol1996，31，20： | 1 |
| 7 | Stabilization of supported liquid membranes by interfacial polymerization top layers 显示文摘 | Kemperman A J B Rolevink H H M Bargeman D | 1998 | Journal of Membrane Science1998，138，1： | 1 |
| 8 | The Role of Routines in the Vacation Decision - making Process of Dutch Vacationers 显示文摘 | Bargeman B Poel V | 2006 | Tourism Management2006，27，4： | 1 |
| 9 | Stability of supported liquid membranes:state of the art显示文摘 | KEMPERMAN A J B BARGEMAN D BOOMGAARD T | 1996 | Sep Sci Technol1996，31，： | 1 |
| 10 | Stabilization of supported liquid membranes by interfacial polymerization top layers显示文摘 | Kemperman A J B Rolevink H H M Bargeman D | 1998 | Journal of Membrane Science1998，138，： | 1 |
| 11 | Stability of supported liquid membranes:State of the art显示文摘 | Kemperman A J B Bargeman D Strathmann H | 1996 | Sep Sci Technol1996，31，： | 1 |
| 12 | Stability of supported liquid membranes: state of the art显示文摘 | Keperman A J B Bargeman D Boomgaard T | 1996 | Sep Sci Technol1996，31，： | 1 |
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