Abdominal angina
You don't need to be Editor-In-Chief to add or edit content to WikiDoc. You can begin to add to or edit text on this WikiDoc page by clicking on the edit button at the top of this page. Next enter or edit the information that you would like to appear here. Once you are done editing, scroll down and click the Save page button at the bottom of the page.
| Abdominal angina Classification and external resources | |
| ICD-10 | K55 |
|---|---|
| ICD-9 | 557.1 |
|
WikiDoc Resources for Abdominal angina | |
|
Articles | |
|---|---|
|
Most recent articles on Abdominal angina Most cited articles on Abdominal angina | |
|
Media | |
|
Powerpoint slides on Abdominal angina | |
|
Evidence Based Medicine | |
|
Clinical Trials | |
|
Ongoing Trials on Abdominal angina at Clinical Trials.gov Trial results on Abdominal angina Clinical Trials on Abdominal angina at Google
| |
|
Guidelines / Policies / Govt | |
|
US National Guidelines Clearinghouse on Abdominal angina NICE Guidance on Abdominal angina
| |
|
Books | |
|
News | |
|
Commentary | |
|
Definitions | |
|
Patient Resources / Community | |
|
Patient resources on Abdominal angina Discussion groups on Abdominal angina Patient Handouts on Abdominal angina Directions to Hospitals Treating Abdominal angina Risk calculators and risk factors for Abdominal angina
| |
|
Healthcare Provider Resources | |
|
Causes & Risk Factors for Abdominal angina | |
|
Continuing Medical Education (CME) | |
|
International | |
|
| |
|
Business | |
|
Experimental / Informatics | |
For patient information click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753
Associate Editor in Chief: M.Umer Tariq [2]
Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [3] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.
Overview
Abdominal angina (a.k.a. bowelgina) is postprandial abdominal pain that occurs in individuals with insufficient blood flow to meet visceral demands. 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." [1]
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:
Frequency
- Internationally: Extremely rare. True incidence is unknown
- Race: No data available
- Sex: Females outnumber males by approximately 3 to 1
- Age: Mean age of affected individuals is slightly older than 60 years
Complete Differential Diagnosis of the causes of Abdominal angina
- Atheroma
- Atherosclerosis
- Henoch-Schonlein purpura
- Ortner's syndrome II
- Peripheral artery occlusive disease
- Renovascular Disease
- Vasculitis
Complete Differential Diagnosis of the Causes of Abdominal angina
(By organ system)
| Cardiovascular |
Atheroma, Atherosclerosis, Peripheral artery occlusive disease, Renovascular Disease, Ortner's syndromeII, |
| Chemical / poisoning | No underlying causes |
| Dermatologic | No underlying causes |
| Drug Side Effect | No underlying causes |
| Ear Nose Throat | No underlying causes |
| Endocrine | No underlying causes |
| Environmental | No underlying causes |
| Gastroenterologic | No underlying causes |
| Genetic | No underlying causes |
| Hematologic | No underlying causes |
| Iatrogenic | No underlying causes |
| Infectious Disease | No underlying causes |
| Musculoskeletal / Ortho | No underlying causes |
| Neurologic | No underlying causes |
| Nutritional / Metabolic | No underlying causes |
| Obstetric/Gynecologic | No underlying causes |
| Oncologic | No underlying causes |
| Opthalmologic | No underlying causes |
| Overdose / Toxicity | No underlying causes |
| Psychiatric | No underlying causes |
| Pulmonary | No underlying causes |
| Renal / Electrolyte | |
| Rheum / Immune / Allergy | |
| Sexual | No underlying causes |
| Trauma | No underlying causes |
| Urologic | No underlying causes |
| Miscellaneous | No underlying causes |
Bold text
Clinical
- Hallmark of condition: Disabling midepigastric or central abdominal pain within 10-15 minutes after eating.
- 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 aorto-iliac occlusive disease, may be present.
- Causes: Smoking is an associated risk factor. In most series, approximately 75-80% of patients smoke.
Treatment
Stents have been used in the treatment of abdominal angina.[5][6]
See also
References
- ↑ The American Heritage Stedman's Medical Dictionary. KMLE Medical Dictionary Definition of abdominal angina.
- ↑ 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.
| ||||
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
