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14-September-2008 18:38:51 - angina Symptom/Sign: Abdominal angina bowelgina Classifications and external resources ICD-10 K55. ICD-9 557.1 Abdominal angina a.k.a. bowelgina is postprandial abdominal pain that occurs in individuals with insufficient blood flow to meet mesenteric visceral demands.1 The term angina is used in reference to angina pectoris, a similar symptom due to obstruction of the coronary artery. The American Heritage Stedman's Medical Dictionary defines abdominal angina bowelgina as Intermittent abdominal pain, frequently occurring at a fixed time after eating, caused by inadequacy of the mesenteric circulation. Also called intestinal angina; bowelgina. Contents 1 Pathophysiology 2 Frequency 3 Clinical 4 Treatment 5 See also 6 References Pathophysiology The pathophysiology is similar to that seen in angina pectoris and intermittent claudication. The most common cause of bowelgina is atherosclerotic vascular disease, where the occlusive process commonly involves the ostia and the proximal few centimeters of the mesenteric vessels. It can be associated with: carcinoid2 aortic coarctation3 antiphospholipid syndrome4 Frequency Internationally: Extremely rare. True incidence is unknown Race: No data available Sex: Females outnumber males by approximately 3 to 1citation needed Age: Mean age of affected individuals is slightly older than 60 yearscitation needed Clinical Hallmark of condition: Disabling midepigastric or central abdominal pain within 10-15 minutes after eating.citation needed Physical examination: The abdomen typically is scaphoid and soft, even during an episode of pain. Patients present with stigmata of weight loss and signs of peripheral vascular disease, particularly aortoiliac occlusive disease, may be present. Causes: Smoking is an associated risk factor. In most series, approximately 75-80% of patients smoke.citation needed Treatment Stents have been used in the treatment of abdominal angina.56 See also Abdominal pain Ischemic colitis References ^ Kapadia S, Parakh R, Grover T, Agarwal S 2005. Side-to-side aorto-mesenteric anastomosis for management of abdominal angina. Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology 24 6: 256-7. PMID 16424623. ^ deVries H, Wijffels RT, Willemse PH, et al 2005. Abdominal angina in patients with a midgut carcinoid, a sign of severe pathology. World journal of surgery 29 9: 1139-42. doi:10.1007/s00268-005-7825-x. PMID 16086212. ^ Ingu A, Morikawa M, Fuse S, Abe T 2003. Acute occlusion of a simple aortic coarctation presenting as abdominal angina. Pediatric cardiology 24 5: 488-9. doi:10.1007/s00246-002-0381-3. PMID 14627320. ^ Choi BG, Jeon HS, Lee SO, Yoo WH, Lee ST, Ahn DS 2002. Primary antiphospholipid syndrome presenting with abdominal angina and splenic infarction. Rheumatol. Int. 22 3: 119-21. doi:10.1007/s00296-002-0196-9. PMID 12111088. ^ Senechal Q, Massoni JM, Laurian C, Pernes JM 2001. Transient relief of abdominal angina by Wallstent placement into an occluded superior mesenteric artery. The Journal of cardiovascular surgery 42 1: 101-5. PMID 11292915. ^ Busquet J 1997. Intravascular stenting in the superior mesenteric artery for chronic abdominal angina. Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery 4 4: 380-4. PMID 9418203. v d e Digestive system - Digestive disease - Gastroenterology primarily K20-K93, 530-579 Upper GI tract Esophagus Esophagitis Candidal - Boerhaave syndrome - UES Zenker's diverticulum - LES Barrett's esophagus, Mallory-Weiss syndrome - Esophageal motility disorder Nutcracker esophagus, Achalasia, Diffuse esophageal spasm, GERD - Esophageal stricture - Megaesophagus Stomach Gastritis Atrophic, Ménétrier's disease, Gastroenteritis - Peptic gastric ulcer/Dieulafoy's lesion - Dyspepsia - Pyloric stenosis - Achlorhydria - Gastroparesis - Gastroptosis - Portal hypertensive gastropathy - Gastric antral vascular ectasia - Gastric dumping syndrome - Gastric volvulus Intestinal/ enteropathy Small intestine/ duodenum/jejunum/ileum Enteritis Duodenitis, Jejunitis, Ileitis Peptic duodenal ulcer Malabsorption: Coeliac - Tropical sprue - Blind loop syndrome - Whipple's - Short bowel syndrome - Steatorrhea Large intestine appendix/colon Appendicitis - Colitis Pseudomembranous, Ulcerative, Ischemic Functional colonic disease IBS, Intestinal pseudoobstruction/Ogilvie syndrome Megacolon/Toxic megacolon - Diverticulitis/Diverticulosis Large and/or small Enterocolitis Necrotizing - IBD Crohn's disease vascular: Abdominal angina - Mesenteric ischemia - Angiodysplasia Bowel obstruction: Ileus - Intussusception - Volvulus - Fecal impaction Constipation - Diarrhea Rectum/anus Proctitis Radiation proctitis - Proctalgia fugax - Rectal prolapse - Anal fissure/Anal fistula - Anal abscess Accessory Liver Hepatitis Viral hepatitis, Autoimmune hepatitis, Alcoholic hepatitis - Cirrhosis PBC - Fatty liver NASH - vascular Hepatic veno-occlusive disease, Portal hypertension, Nutmeg liver - Alcoholic liver disease - Liver failure Hepatic encephalopathy, Acute liver failure - Liver abscess - Hepatorenal syndrome - Peliosis hepatis Gallbladder Cholecystitis - Gallstones/Cholecystolithiasis - Cholesterolosis - Rokitansky-Aschoff sinuses - Postcholecystectomy syndrome Bile duct/ other biliary tree Cholangitis PSC, Ascending - Cholestasis/Mirizzi's syndrome - Biliary fistula - Haemobilia - Gallstones/Cholelithiasis common bile duct Choledocholithiasis, Biliary dyskinesia Pancreatic Pancreatitis Acute, Chronic, Herary - Pancreatic pseudocyst - Exocrine pancreatic insufficiency - Pancreatic fistula Hernia Diaphragmatic: Congenital diaphragmatic - Hiatus Abdominal hernia: Inguinal Indirect, Direct - Umbilical - Incisional - Femoral Obturator hernia - Spigelian hernia Peritoneal Peritonitis Spontaneous bacterial peritonitis - Hemoperitoneum - Pneumoperitoneum GI bleeding Upper Hematemesis, Melena - Lower Hematochezia See also congenital, neoplasia Retrieved from http://en..org/wiki/Abdominal_angina Categories: PainHidden categories: All articles with statements | Articles with statements since October 2007 Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page Languages Deutsch Polski This page was last modified on 17 June 2008, at 17:30
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