{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:15:59Z","timestamp":1791850559174,"version":"4.3.4"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,2,22]],"date-time":"2012-02-22T00:00:00Z","timestamp":1329868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/2.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Splanchnic artery stenosis is common and mostly asymptomatic and may lead to gastrointestinal ischemia (chronic splanchnic syndrome, CSS). This study was designed to assess risk factors for CSS in the medical history of patients with splanchnic artery stenosis and whether these risk factors can be used to identify patients with high and low risk of CSS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All patients referred for suspected CSS underwent a standardized workup, including a medical history with questionnaire, duplex ultrasound, gastrointestinal tonometry, and angiography. Definitive diagnosis and treatment advice was made in a multidisciplinary team. Patients with confirmed CSS were compared with no\u2010CSS patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 270 patients (102\u00a0M, 168 F; mean age, 53 years) with splanchnic artery stenosis were analyzed, of whom 109 (40%) had CSS and 161\u00a0no CSS. CSS\u2010patients more often reported postprandial pain (87% vs. 72%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.007), weight loss (85% vs. 70%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.006), adapted eating pattern (90% vs. 79%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.005) and diarrhea (35% vs. 22%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.023). If none of these risk factors were present, the probability of CSS was 13%; if all were present, the probability was 60%. Adapted eating pattern (odds ratio (OR) 3.1; 95% confidence interval (CI) 1.08\u20138.88) and diarrhea (OR 2.6; 95% CI 1.31\u20135.3) were statistically significant in multivariate analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In patients with splanchnic artery stenosis, the clinical history is of limited value for detection of CSS. A diagnostic test to detect ischemia is indispensable for proper selection of patients with splanchnic artery stenosis who might benefit from treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-012-1485-4","type":"journal-article","created":{"date-parts":[[2012,2,21]],"date-time":"2012-02-21T09:43:16Z","timestamp":1329817396000},"page":"793-799","source":"Crossref","is-referenced-by-count":42,"title":["Splanchnic Artery Stenosis and Abdominal Complaints: Clinical History Is of Limited Value in Detection of Gastrointestinal Ischemia"],"prefix":"10.1002","volume":"36","author":[{"given":"R. W. F.","family":"ter Steege","sequence":"first","affiliation":[{"name":"Department of Gastroenterology University Medical Centre Groningen Hanzeplein 1, Postbox 30001 9700 RB Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. S.","family":"Sloterdijk","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Medical Spectrum Twente Enschede The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. H.","family":"Geelkerken","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Medical Spectrum Twente Enschede The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. B.","family":"Huisman","sequence":"additional","affiliation":[{"name":"Department of Radiology Medical Spectrum Twente Enschede The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"van der Palen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Medical Spectrum Twente Enschede The Netherlands"},{"name":"Department of Research Methodology, Measurement, and Data Analysis University of Twente Enschede The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. J.","family":"Kolkman","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University Medical Centre Groningen Hanzeplein 1, Postbox 30001 9700 RB Groningen The Netherlands"},{"name":"Department of Gastroenterology Medical Spectrum Twente Enschede The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,2,22]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1583\/09\u20102935.1"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.14.7309"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5481"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/bega.2001.0158"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016\u20105085(00)70183\u20101"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAJ.0b013e3181a85c3b"},{"key":"e_1_2_6_8_2","doi-asserted-by":"crossref","unstructured":"KolkmanJJ MensinkPB vanPetersenAS HuismanAB GeelkerkenRH(2004) Clinical approach to chronic gastrointestinal ischaemia: from \u2018intestinal angina\u2019 to the spectrum of chronic splanchnic disease.Scand J Gastroenterol Suppl9\u201316","DOI":"10.1080\/00855920410010933"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010195905000\u201000009"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20108703(63)90035\u20108"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2008.11.012"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1542\u20103565(05)00155\u20102"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.bja.a013386"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572\u20100241.2007.01359.x"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.2001.91.2.866"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0741\u20105214(93)90011\u2010A"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/00365520600670059"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10620\u2010007\u20109833\u20101"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2010.11.006"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741\u20105214(98)70263\u20100"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.118593"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2010.10.025"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.19.2095"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741\u20105214(98)70263\u20100"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-012-1485-4","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T18:10:45Z","timestamp":1704910245000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-012-1485-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,2,22]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,4]]}},"alternative-id":["10.1007\/s00268-012-1485-4"],"URL":"https:\/\/doi.org\/10.1007\/s00268-012-1485-4","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,2,22]]}}}