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General Surgeons in Gurgaon. Book Doctor & Appointment, Consult Online, View Doctor Fees, User Reviews, Address and Phone Numbers of General Surgeons in Gurgaon | Lybrate
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Abdominal angina is defined as the postprandial pain that occurs in individuals
who have mesenteric vascular occlusive disease that has advanced to the
point where blood flow cannot increase enough to meet visceral demands.
This mechanism is similar to that of the angina pectoris that occurs in
individuals with coronary artery disease or the intermittent claudication that
accompanies peripheral vascular disease.Schnitzler first described the clinical
picture of postprandial pain in 1901. However, the true description of
postprandial abdominal angina is attributed to Baccelli or Goodman (1918). In
1957, Mikkelsen proposed surgical treatment of occlusive mesenteric vascular
disease. Shaw and Maynard reported the first transarterial
thromboendarterectomy of the superior mesenteric artery (SMA) in 1958. With
the advancements in imaging technology, the degree of stenosis in
mesenteric arteries can be defined accurately and treated accordingly.
Pathophysiology and Etiology
Intestinal ischemia comes about because of the unevenness of oxygen supply
to and oxygen utilization by the gastrointestinal (GI) tract. Decreased blood
stream comes about because of narrowing of the mesenteric vessels. The
most widely recognized reason for stomach angina is atherosclerotic vascular
illness. It regularly includes the ostia of the mesenteric vessels.
The three corridors providing the gut are the celiac conduit, the SMA, and the
substandard mesenteric vein (IMA; see the picture beneath). There are
pledges between the celiac conduit and the SMA (pancreaticoduodenal
arcades) and between the SMA and the IMA (wandering mesenteric corridor).
In instances of extreme ostial narrowing, inward iliac courses additionally fill in
as essential wellsprings of insurance hindgut and midgut perfusion within the
sight of second rate mesenteric blood vessel impediment.
Dr. Vijay Kohli is a renowned General Surgeon in Sector-38, Gurgaon. He has
helped numerous patients in his 38 years of experience as a General
Surgeon. He studied and completed Fellowship, FIACS, M.S., MBBS, Mch .
He is currently associated with Dr. Vijay Kohli@Medanta-The Medicity in
Sector-38, Gurgaon. Also find more General Surgeons in Gurgaon.
Prevalent mesenteric course and mediocre mesenteric
Prevalent mesenteric course and mediocre mesenteric corridor share security
dissemination close splenic flexure of colon. Whenever enlarged, this vessel
is named wandering mesenteric conduit. As observed on angiography, this is
indication of unending mesenteric ischemia.
Pancreaticoduodenal arcades are guarantee pathway
Pancreaticoduodenal arcades are guarantee pathways between celiac conduit
and prevalent mesenteric supply route.
SMA impediment constantly is seen in patients with symptomatic occlusive
Inside a couple of minutes of eating, there is expanded blood stream in the
celiac and prevalent mesenteric vessels in ordinary people. Patients with
stomach angina can't adequately expand stream in the mesenteric vessels.
This prompts fear related with eating and critical weight reduction.