Doppler sonography of the inferior and superior mesenteric arteries in ulcerative colitis

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dc.authoridKutlu, Ramazan/0000-0001-7941-7025
dc.authoridSigirci, Ahmet/0000-0001-9221-0002
dc.authoridKutlu, Ramazan/0000-0001-7941-7025
dc.authorwosidKutlu, Ramazan/AAE-5219-2020
dc.authorwosidSigirci, Ahmet/ABG-7387-2020
dc.authorwosidSaraç, Kaya/ABI-1091-2020
dc.authorwosidKutlu, Ramazan/B-1624-2016
dc.contributor.authorSigirci, A
dc.contributor.authorBaysal, T
dc.contributor.authorKutlu, R
dc.contributor.authorAladag, M
dc.contributor.authorSarac, K
dc.contributor.authorHarputluglu, H
dc.date.accessioned2024-08-04T20:12:16Z
dc.date.available2024-08-04T20:12:16Z
dc.date.issued2001
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose. The purpose of this study was to evaluate the Doppler sonographic blood-flow parameters and spectral patterns in the inferior mesenteric artery (IMA) and superior mesenteric artery (SMA) in patients with active and inactive (remission-phase) ulcerative colitis (UC). Methods. The IMAs and SMAs of 25 patients with active-phase UC (group 1), 19 patients with remission-phase UC (group 2), and 22 healthy, asymptomatic subjects (control group) were evaluated by duplex Doppler sonography. The 25 patients in group 1 were categorized into 2 subgroups on the basis of the extent of disease as determined by double-contrast barium enema x-ray study and colonoscopy. The first subgroup (group 1a) consisted of 11 patients with active involvement of the left colon from the rectum to the splenic flexure. The second subgroup (group 1b) consisted of 14 patients with active involvement of the entire colon. The peak systolic velocity (PSV), end diastolic velocity (EDV), mean velocity (Vmean), resistance index (RI), and pulsatility index (PI) were determined from the Doppler spectral analysis. The inner diameter and cross-sectional area of the IMA and SMA were measured, and the blood-flow volume was calculated. The results were compared between the patient groups and control subjects. Results. In the IMA, the mean blood-flow volume, mean PSV, mean EDV, and Vmean were significantly higher, the mean PI was significantly lower, and the mean diameter and the mean cross-sectional area were significantly larger in group 1 than in group 2 or in the control group (p < 0.001). The mean PSV and the Vmean of the IMA were significantly higher in group la than in group Ib (p < 0.05). The mean blood-flow parameters in the SMA were not significantly different between groups 1 and 2 or between either group 1 or group 2 and the control subjects. The mean EDV in the SMA was significantly higher and the mean PI and the mean RI were significantly lower in group 1b than in group 1a (p < 0.01). Conclusions. Duplex Doppler sonography of the IMA and SMA can be used to evaluate inflammatory disease of the large bowel, to assess disease extent, and to document response to therapy. (C) 2001 John Wiley & Sons, Inc.en_US
dc.identifier.doi10.1002/1097-0096(200103/04)29:3<130
dc.identifier.endpage139en_US
dc.identifier.issn0091-2751
dc.identifier.issn1097-0096
dc.identifier.issue3en_US
dc.identifier.pmid11329155en_US
dc.identifier.scopus2-s2.0-0035126897en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage130en_US
dc.identifier.urihttps://doi.org/10.1002/1097-0096(200103/04)29:3<130
dc.identifier.urihttps://hdl.handle.net/11616/93317
dc.identifier.volume29en_US
dc.identifier.wosWOS:000167217700003en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal of Clinical Ultrasounden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDoppler ultrasonographyen_US
dc.subjectinferior mesenteric arteryen_US
dc.subjectsuperior mesenteric arteryen_US
dc.subjectulcerative colitisen_US
dc.titleDoppler sonography of the inferior and superior mesenteric arteries in ulcerative colitisen_US
dc.typeArticleen_US

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