A new provocative test for chronic mesenteric ischemia

Am J Gastroenterol. 1991 Jul;86(7):888-91.

Abstract

A new provocative test for chronic mesenteric ischemia is described, based upon the demonstration of a fall in the intramural pH of the small bowel after introduction of a test meal into the stomach. Intramural pH (pHI) is determined indirectly by tonometry, utilizing a tonometer passed per os. Postoperative assessment of revascularization procedures is also possible by the same technique. Application of the test in an 84-yr-old woman showed good correlation between a preoperative fall in jejunal intramural pH and abdominal pain, and the absence of a fall postoperatively after successful revascularization.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Chronic Disease
  • Diagnosis, Differential
  • Female
  • Humans
  • Hydrogen-Ion Concentration
  • Ischemia / diagnosis*
  • Ischemia / surgery
  • Jejunum / metabolism*
  • Mesenteric Arteries / diagnostic imaging
  • Mesenteric Vascular Occlusion / diagnosis*
  • Mesenteric Vascular Occlusion / surgery
  • Radiography