Doppler sonography of the inferior and superior mesenteric arteries in ulcerative colitis
Purpose The purpose of this study was to evaluate the Doppler sonographic blood‐flow parameters and spectral patterns in the inferior mesenteric artery (IMA) and superior mesenteric artery (SMA) in patients with active and inactive (remission‐phase) ulcerative colitis (UC). Methods The IMAs and SMAs...
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| Veröffentlicht in: | Journal of clinical ultrasound 2001-03, Vol.29 (3), p.130-139 |
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| creator | Sığırcı, Ahmet Baysal, Tamer Kutlu, Ramazan Aladağ, Murat Saraç, Kaya Harputluoğlu, Hakan |
| description | Purpose
The purpose of this study was to evaluate the Doppler sonographic blood‐flow parameters and spectral patterns in the inferior mesenteric artery (IMA) and superior mesenteric artery (SMA) in patients with active and inactive (remission‐phase) ulcerative colitis (UC).
Methods
The IMAs and SMAs of 25 patients with active‐phase UC (group 1), 19 patients with remission‐phase UC (group 2), and 22 healthy, asymptomatic subjects (control group) were evaluated by duplex Doppler sonography. The 25 patients in group 1 were categorized into 2 subgroups on the basis of the extent of disease as determined by double‐contrast barium enema x‐ray study and colonoscopy. The first subgroup (group 1a) consisted of 11 patients with active involvement of the left colon from the rectum to the splenic flexure. The second subgroup (group 1b) consisted of 14 patients with active involvement of the entire colon. The peak systolic velocity (PSV), end‐diastolic velocity (EDV), mean velocity (Vmean), resistance index (RI), and pulsatility index (PI) were determined from the Doppler spectral analysis. The inner diameter and cross‐sectional area of the IMA and SMA were measured, and the blood‐flow volume was calculated. The results were compared between the patient groups and control subjects.
Results
In the IMA, the mean blood‐flow volume, mean PSV, mean EDV, and Vmean were significantly higher, the mean PI was significantly lower, and the mean diameter and the mean cross‐sectional area were significantly larger in group 1 than in group 2 or in the control group (p < 0.001). The mean PSV and the Vmean of the IMA were significantly higher in group 1a than in group 1b (p < 0.05). The mean blood‐flow parameters in the SMA were not significantly different between groups 1 and 2 or between either group 1 or group 2 and the control subjects. The mean EDV in the SMA was significantly higher and the mean PI and the mean RI were significantly lower in group 1b than in group 1a (p < 0.01).
Conclusions
Duplex Doppler sonography of the IMA and SMA can be used to evaluate inflammatory disease of the large bowel, to assess disease extent, and to document response to therapy. © 2001 John Wiley & Sons, Inc. J Clin Ultrasound 29:130–139, 2001. |
| doi_str_mv | 10.1002/1097-0096(200103/04)29:3<130::AID-JCU1012>3.0.CO;2-X |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70836869</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>70836869</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4972-4bca8054ff189ec9a7bc36d836e1b07b2758a7b74ff6cbba4e954c3b51ff73883</originalsourceid><addsrcrecordid>eNqVkNFu0zAUhiMEYt3gFVAkJMQu0h3bcRyXCWlKoYxO9GYT5erIcR1mlibBToG-Pa4Syg03XB376PPvX18UXRKYEgB6QUCKBEBmrykAAXYB6TmVM3ZJGMxmV9fz5GNxR4DQt2wK02L1hibrR9Hk-OxxNAmDJFRwchKdev8NADLO-dPohBBGJeF8En2Zt11XGxf7tmm_OtXd7-O2ivt7E9umMs62LlbNJva7brhsjTdNH846Vu4wjQ9kvKu1caq3P0ys29r21j-LnlSq9ub5OM-iu_fvbosPyc1qcV1c3SQ6lYImaalVDjytKpJLo6USpWbZJmeZISWIMtTPw04EINNlqVIjeapZyUlVCZbn7Cx6NeR2rv2-M77HrfXa1LVqTLvzKCBk5ZkM4O0Aatd670yFnbNb5fZIAA_K8eAOD-5wUI6QIpXIMChHDMpxVB5WgMUKKa5D7Ivx_125NZu_oaPjALwcAeW1qiunGm39kZOEUpkGaj1QP21t9v9X7d_N_qxCdDJEW9-bX8do5R4wE0xw_PxpgcWCLJdinuOS_QbuGrfg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70836869</pqid></control><display><type>article</type><title>Doppler sonography of the inferior and superior mesenteric arteries in ulcerative colitis</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Sığırcı, Ahmet ; Baysal, Tamer ; Kutlu, Ramazan ; Aladağ, Murat ; Saraç, Kaya ; Harputluoğlu, Hakan</creator><creatorcontrib>Sığırcı, Ahmet ; Baysal, Tamer ; Kutlu, Ramazan ; Aladağ, Murat ; Saraç, Kaya ; Harputluoğlu, Hakan</creatorcontrib><description>Purpose
The purpose of this study was to evaluate the Doppler sonographic blood‐flow parameters and spectral patterns in the inferior mesenteric artery (IMA) and superior mesenteric artery (SMA) in patients with active and inactive (remission‐phase) ulcerative colitis (UC).
Methods
The IMAs and SMAs of 25 patients with active‐phase UC (group 1), 19 patients with remission‐phase UC (group 2), and 22 healthy, asymptomatic subjects (control group) were evaluated by duplex Doppler sonography. The 25 patients in group 1 were categorized into 2 subgroups on the basis of the extent of disease as determined by double‐contrast barium enema x‐ray study and colonoscopy. The first subgroup (group 1a) consisted of 11 patients with active involvement of the left colon from the rectum to the splenic flexure. The second subgroup (group 1b) consisted of 14 patients with active involvement of the entire colon. The peak systolic velocity (PSV), end‐diastolic velocity (EDV), mean velocity (Vmean), resistance index (RI), and pulsatility index (PI) were determined from the Doppler spectral analysis. The inner diameter and cross‐sectional area of the IMA and SMA were measured, and the blood‐flow volume was calculated. The results were compared between the patient groups and control subjects.
Results
In the IMA, the mean blood‐flow volume, mean PSV, mean EDV, and Vmean were significantly higher, the mean PI was significantly lower, and the mean diameter and the mean cross‐sectional area were significantly larger in group 1 than in group 2 or in the control group (p < 0.001). The mean PSV and the Vmean of the IMA were significantly higher in group 1a than in group 1b (p < 0.05). The mean blood‐flow parameters in the SMA were not significantly different between groups 1 and 2 or between either group 1 or group 2 and the control subjects. The mean EDV in the SMA was significantly higher and the mean PI and the mean RI were significantly lower in group 1b than in group 1a (p < 0.01).
Conclusions
Duplex Doppler sonography of the IMA and SMA can be used to evaluate inflammatory disease of the large bowel, to assess disease extent, and to document response to therapy. © 2001 John Wiley & Sons, Inc. J Clin Ultrasound 29:130–139, 2001.</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/1097-0096(200103/04)29:3<130::AID-JCU1012>3.0.CO;2-X</identifier><identifier>PMID: 11329155</identifier><identifier>CODEN: JCULDD</identifier><language>eng</language><publisher>New York: John Wiley & Sons, Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Colitis, Ulcerative - complications ; Colitis, Ulcerative - diagnostic imaging ; Colon - blood supply ; Colon - diagnostic imaging ; Diagnosis, Differential ; Doppler ultrasonography ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; inferior mesenteric artery ; Inflammation ; Male ; Medical sciences ; Mesenteric Artery, Inferior - diagnostic imaging ; Mesenteric Artery, Superior - diagnostic imaging ; Middle Aged ; Other diseases. Semiology ; Rectum - blood supply ; Rectum - diagnostic imaging ; Regional Blood Flow ; Sensitivity and Specificity ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; superior mesenteric artery ; ulcerative colitis ; Ultrasonography, Doppler, Duplex - methods</subject><ispartof>Journal of clinical ultrasound, 2001-03, Vol.29 (3), p.130-139</ispartof><rights>Copyright © 2001 John Wiley & Sons, Inc.</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4972-4bca8054ff189ec9a7bc36d836e1b07b2758a7b74ff6cbba4e954c3b51ff73883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F1097-0096%28200103%2F04%2929%3A3%3C130%3A%3AAID-JCU1012%3E3.0.CO%3B2-X$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F1097-0096%28200103%2F04%2929%3A3%3C130%3A%3AAID-JCU1012%3E3.0.CO%3B2-X$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=912294$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11329155$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sığırcı, Ahmet</creatorcontrib><creatorcontrib>Baysal, Tamer</creatorcontrib><creatorcontrib>Kutlu, Ramazan</creatorcontrib><creatorcontrib>Aladağ, Murat</creatorcontrib><creatorcontrib>Saraç, Kaya</creatorcontrib><creatorcontrib>Harputluoğlu, Hakan</creatorcontrib><title>Doppler sonography of the inferior and superior mesenteric arteries in ulcerative colitis</title><title>Journal of clinical ultrasound</title><addtitle>J. Clin. Ultrasound</addtitle><description>Purpose
The purpose of this study was to evaluate the Doppler sonographic blood‐flow parameters and spectral patterns in the inferior mesenteric artery (IMA) and superior mesenteric artery (SMA) in patients with active and inactive (remission‐phase) ulcerative colitis (UC).
Methods
The IMAs and SMAs of 25 patients with active‐phase UC (group 1), 19 patients with remission‐phase UC (group 2), and 22 healthy, asymptomatic subjects (control group) were evaluated by duplex Doppler sonography. The 25 patients in group 1 were categorized into 2 subgroups on the basis of the extent of disease as determined by double‐contrast barium enema x‐ray study and colonoscopy. The first subgroup (group 1a) consisted of 11 patients with active involvement of the left colon from the rectum to the splenic flexure. The second subgroup (group 1b) consisted of 14 patients with active involvement of the entire colon. The peak systolic velocity (PSV), end‐diastolic velocity (EDV), mean velocity (Vmean), resistance index (RI), and pulsatility index (PI) were determined from the Doppler spectral analysis. The inner diameter and cross‐sectional area of the IMA and SMA were measured, and the blood‐flow volume was calculated. The results were compared between the patient groups and control subjects.
Results
In the IMA, the mean blood‐flow volume, mean PSV, mean EDV, and Vmean were significantly higher, the mean PI was significantly lower, and the mean diameter and the mean cross‐sectional area were significantly larger in group 1 than in group 2 or in the control group (p < 0.001). The mean PSV and the Vmean of the IMA were significantly higher in group 1a than in group 1b (p < 0.05). The mean blood‐flow parameters in the SMA were not significantly different between groups 1 and 2 or between either group 1 or group 2 and the control subjects. The mean EDV in the SMA was significantly higher and the mean PI and the mean RI were significantly lower in group 1b than in group 1a (p < 0.01).
Conclusions
Duplex Doppler sonography of the IMA and SMA can be used to evaluate inflammatory disease of the large bowel, to assess disease extent, and to document response to therapy. © 2001 John Wiley & Sons, Inc. J Clin Ultrasound 29:130–139, 2001.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Colitis, Ulcerative - complications</subject><subject>Colitis, Ulcerative - diagnostic imaging</subject><subject>Colon - blood supply</subject><subject>Colon - diagnostic imaging</subject><subject>Diagnosis, Differential</subject><subject>Doppler ultrasonography</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>inferior mesenteric artery</subject><subject>Inflammation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mesenteric Artery, Inferior - diagnostic imaging</subject><subject>Mesenteric Artery, Superior - diagnostic imaging</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>Rectum - blood supply</subject><subject>Rectum - diagnostic imaging</subject><subject>Regional Blood Flow</subject><subject>Sensitivity and Specificity</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>superior mesenteric artery</subject><subject>ulcerative colitis</subject><subject>Ultrasonography, Doppler, Duplex - methods</subject><issn>0091-2751</issn><issn>1097-0096</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkNFu0zAUhiMEYt3gFVAkJMQu0h3bcRyXCWlKoYxO9GYT5erIcR1mlibBToG-Pa4Syg03XB376PPvX18UXRKYEgB6QUCKBEBmrykAAXYB6TmVM3ZJGMxmV9fz5GNxR4DQt2wK02L1hibrR9Hk-OxxNAmDJFRwchKdev8NADLO-dPohBBGJeF8En2Zt11XGxf7tmm_OtXd7-O2ivt7E9umMs62LlbNJva7brhsjTdNH846Vu4wjQ9kvKu1caq3P0ys29r21j-LnlSq9ub5OM-iu_fvbosPyc1qcV1c3SQ6lYImaalVDjytKpJLo6USpWbZJmeZISWIMtTPw04EINNlqVIjeapZyUlVCZbn7Cx6NeR2rv2-M77HrfXa1LVqTLvzKCBk5ZkM4O0Aatd670yFnbNb5fZIAA_K8eAOD-5wUI6QIpXIMChHDMpxVB5WgMUKKa5D7Ivx_125NZu_oaPjALwcAeW1qiunGm39kZOEUpkGaj1QP21t9v9X7d_N_qxCdDJEW9-bX8do5R4wE0xw_PxpgcWCLJdinuOS_QbuGrfg</recordid><startdate>200103</startdate><enddate>200103</enddate><creator>Sığırcı, Ahmet</creator><creator>Baysal, Tamer</creator><creator>Kutlu, Ramazan</creator><creator>Aladağ, Murat</creator><creator>Saraç, Kaya</creator><creator>Harputluoğlu, Hakan</creator><general>John Wiley & Sons, Inc</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200103</creationdate><title>Doppler sonography of the inferior and superior mesenteric arteries in ulcerative colitis</title><author>Sığırcı, Ahmet ; Baysal, Tamer ; Kutlu, Ramazan ; Aladağ, Murat ; Saraç, Kaya ; Harputluoğlu, Hakan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4972-4bca8054ff189ec9a7bc36d836e1b07b2758a7b74ff6cbba4e954c3b51ff73883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Colitis, Ulcerative - complications</topic><topic>Colitis, Ulcerative - diagnostic imaging</topic><topic>Colon - blood supply</topic><topic>Colon - diagnostic imaging</topic><topic>Diagnosis, Differential</topic><topic>Doppler ultrasonography</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>inferior mesenteric artery</topic><topic>Inflammation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mesenteric Artery, Inferior - diagnostic imaging</topic><topic>Mesenteric Artery, Superior - diagnostic imaging</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Rectum - blood supply</topic><topic>Rectum - diagnostic imaging</topic><topic>Regional Blood Flow</topic><topic>Sensitivity and Specificity</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>superior mesenteric artery</topic><topic>ulcerative colitis</topic><topic>Ultrasonography, Doppler, Duplex - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sığırcı, Ahmet</creatorcontrib><creatorcontrib>Baysal, Tamer</creatorcontrib><creatorcontrib>Kutlu, Ramazan</creatorcontrib><creatorcontrib>Aladağ, Murat</creatorcontrib><creatorcontrib>Saraç, Kaya</creatorcontrib><creatorcontrib>Harputluoğlu, Hakan</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sığırcı, Ahmet</au><au>Baysal, Tamer</au><au>Kutlu, Ramazan</au><au>Aladağ, Murat</au><au>Saraç, Kaya</au><au>Harputluoğlu, Hakan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Doppler sonography of the inferior and superior mesenteric arteries in ulcerative colitis</atitle><jtitle>Journal of clinical ultrasound</jtitle><addtitle>J. Clin. Ultrasound</addtitle><date>2001-03</date><risdate>2001</risdate><volume>29</volume><issue>3</issue><spage>130</spage><epage>139</epage><pages>130-139</pages><issn>0091-2751</issn><eissn>1097-0096</eissn><coden>JCULDD</coden><abstract>Purpose
The purpose of this study was to evaluate the Doppler sonographic blood‐flow parameters and spectral patterns in the inferior mesenteric artery (IMA) and superior mesenteric artery (SMA) in patients with active and inactive (remission‐phase) ulcerative colitis (UC).
Methods
The IMAs and SMAs of 25 patients with active‐phase UC (group 1), 19 patients with remission‐phase UC (group 2), and 22 healthy, asymptomatic subjects (control group) were evaluated by duplex Doppler sonography. The 25 patients in group 1 were categorized into 2 subgroups on the basis of the extent of disease as determined by double‐contrast barium enema x‐ray study and colonoscopy. The first subgroup (group 1a) consisted of 11 patients with active involvement of the left colon from the rectum to the splenic flexure. The second subgroup (group 1b) consisted of 14 patients with active involvement of the entire colon. The peak systolic velocity (PSV), end‐diastolic velocity (EDV), mean velocity (Vmean), resistance index (RI), and pulsatility index (PI) were determined from the Doppler spectral analysis. The inner diameter and cross‐sectional area of the IMA and SMA were measured, and the blood‐flow volume was calculated. The results were compared between the patient groups and control subjects.
Results
In the IMA, the mean blood‐flow volume, mean PSV, mean EDV, and Vmean were significantly higher, the mean PI was significantly lower, and the mean diameter and the mean cross‐sectional area were significantly larger in group 1 than in group 2 or in the control group (p < 0.001). The mean PSV and the Vmean of the IMA were significantly higher in group 1a than in group 1b (p < 0.05). The mean blood‐flow parameters in the SMA were not significantly different between groups 1 and 2 or between either group 1 or group 2 and the control subjects. The mean EDV in the SMA was significantly higher and the mean PI and the mean RI were significantly lower in group 1b than in group 1a (p < 0.01).
Conclusions
Duplex Doppler sonography of the IMA and SMA can be used to evaluate inflammatory disease of the large bowel, to assess disease extent, and to document response to therapy. © 2001 John Wiley & Sons, Inc. J Clin Ultrasound 29:130–139, 2001.</abstract><cop>New York</cop><pub>John Wiley & Sons, Inc</pub><pmid>11329155</pmid><doi>10.1002/1097-0096(200103/04)29:3<130::AID-JCU1012>3.0.CO;2-X</doi><tpages>10</tpages></addata></record> |
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| ispartof | Journal of clinical ultrasound, 2001-03, Vol.29 (3), p.130-139 |
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| subjects | Adult Aged Biological and medical sciences Colitis, Ulcerative - complications Colitis, Ulcerative - diagnostic imaging Colon - blood supply Colon - diagnostic imaging Diagnosis, Differential Doppler ultrasonography Female Gastroenterology. Liver. Pancreas. Abdomen Humans inferior mesenteric artery Inflammation Male Medical sciences Mesenteric Artery, Inferior - diagnostic imaging Mesenteric Artery, Superior - diagnostic imaging Middle Aged Other diseases. Semiology Rectum - blood supply Rectum - diagnostic imaging Regional Blood Flow Sensitivity and Specificity Stomach. Duodenum. Small intestine. Colon. Rectum. Anus superior mesenteric artery ulcerative colitis Ultrasonography, Doppler, Duplex - methods |
| title | Doppler sonography of the inferior and superior mesenteric arteries in ulcerative colitis |
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