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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 | Quality of life with a temporary stoma: ileostomy vs colost0my 显示文摘 | Gooszen AW Geelkerken RH Hermans J | 2000 | Dis Colon Rectum2000，43，5： | 1 |
| 3 | Partial,matrix excision or segmental phenolization for ingrowing toenails显示文摘 | GERRITSMA BLEEKER C L KLAASE J M GEELKERKEN R H | | 0，，03： | 1 |
| 4 | Pressure sores and pressure-decreasing mattresses:controlled clinical trial显示文摘 | Hofman A Geelkerken R H Wille J | 1994 | Lancet1994，343，8897： | 1 |
| 5 | Partial matrix excision or segmental phenolization for ingrowing toenails显示文摘 | Gerritsma-Bleeker CL Klaase JM Geelkerken RH | 2002 | Arch Surg2002，137，3： | 1 |
| 6 | Surgical options for the management of visceral artery aneurysms显示文摘 | Van Petersen A Meerwaldt R Geelkerken R | 2011 | J Cardiovasc Surg (Torino)2011，52，3： | 1 |
| 7 | Temporary decompression after colorectal surgery:randomized comparison of loop ileostomy and loop colostomy显示文摘 | Gooszen AW Geelkerken RH Hermans J | 1998 | Br J Surg1998，85，1： | 1 |
| 8 | Carotid artery stentlng : a 2009 update 显示文摘 | Clark Zeebregts C J Meerwaldt R Geelkerken RH | 2009 | Curr Opin Cardiol2009，24，： | 1 |
| 9 | Prospective study of primary anastomosis following sigmoid resection for suspected acute complicated diverticular disease显示文摘 | Gooszen AW Tollenaar RA Geelkerken RH | 2001 | Br J Surg2001，88，5： | 1 |
| 10 | Temporary decompression after colorectal surgery:randomized comparison of loop ileostomy and loop colostomy显示文摘 | Gooszen AW Geelkerken RH Hermans J | 1998 | Br J Surg1998，85，1： | 1 |
| 11 | Association of the TGF-beta receptor genes with abdominal aortic aneurysm显示文摘 | Baas AF Medic J van't Slot R de Kovel CG Zhernakova A Geelkerken RH | 2010 | Eur J Hum Genet2010，18，2： | 1 |
| 12 | Prospective study of primary anastomosis following sigmoid resection for suspected acute complicated diverticular disease 显示文摘 | Gooszen AW Tollenaar RA Geelkerken RH | 2001 | Br J Surg2001，88，5： | 1 |
| 13 | Retrograde open mesenteric stenting for acute mesenteric ischemia显示文摘 | Juliette T.M. Blauw Robert Meerwaldt Marjolein Brusse-Keizer Jeroen J. Kolkman Dick Gerrits Robert H. Geelkerken | 2014 | Journal of Vascular Surgery2014，，： | 1 |
| 14 | Acute stress-related gastrointestinal ischemia 显示文摘 | Veenstra R P Geelkerken R H Verhorst P M | 2007 | Digestion2007，75，4： | 1 |
| 15 | Exercise induces gastric ischemia in healthy volunteers- A tonometry study显示文摘 | Otte J A Oostveen E Geelkerken R H | 2001 | J Appl Physiol2001，91，2： | 1 |
| 16 | Prospective study of primary anastomosis following sigmoid resection for suspected acute complicated diverticular disease显示文摘 | Gooszen AW Tollenaar RA Geelkerken RH | 2001 | Br J Surg2001，88，5： | 1 |
| 17 | Quality of life with a temporary stoma: leostomy vs colostomy显示文摘 | Gooszen AW Geelkerken RH Hermans J | 2000 | Dis Colon Rectum2000，43，： | 1 |
| 18 | Characterization of an endovascular prosthesis using the 3Bs rule (biocompatibility, biofunetionality and bindurability ): A recommended protocol to investigate a device harvested at necropsy 显示文摘 | Xu Z Fan Y Geelkerken R M st al | 2007 | Journal of Longterm Effects Medical Implants2007，17，： | 1 |
| 19 | Endograft treatment of ruptured abdominal aortic aneurysms using the Talent aortouniilac system:an international multicenter study显示文摘 | Peppelenbosch N Geelkerken RH Soong C Cao P Steinmetz OK Tiejink JA | | 0，，： | 1 |
| 20 | Temporary decompression after colorectal surgery:randomized comparison of loop ileostomy and loop colostomy显示文摘 | Gooszen AW Geelkerken RH Hermans J | 1998 | Br J Stag1998，85，1： | 1 |
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