Assuntos
Asma , Artéria Celíaca/anormalidades , Síndromes Compartimentais , Descompressão Cirúrgica/métodos , Doença de Gilbert , Hérnias Diafragmáticas Congênitas , Herniorrafia/métodos , Prolapso da Valva Mitral , Adolescente , Adulto , Asma/diagnóstico , Asma/fisiopatologia , Síndromes Compartimentais/congênito , Síndromes Compartimentais/diagnóstico , Síndromes Compartimentais/fisiopatologia , Síndromes Compartimentais/cirurgia , Endoscopia do Sistema Digestório/métodos , Doença de Gilbert/diagnóstico , Doença de Gilbert/fisiopatologia , Hérnias Diafragmáticas Congênitas/diagnóstico , Hérnias Diafragmáticas Congênitas/fisiopatologia , Hérnias Diafragmáticas Congênitas/cirurgia , Humanos , Masculino , Prolapso da Valva Mitral/diagnóstico , Prolapso da Valva Mitral/fisiopatologia , Irmãos , Tomografia Computadorizada Espiral/métodos , Resultado do Tratamento , Ultrassonografia Doppler em Cores/métodosRESUMO
The authors have performed an analysis of main indicators of celiac duplex scanning in 180 patients with celiac compression syndrome before operation, during decompression and at the postoperative period. All the patients underwent surgical celiac trunk decompression. The indicators of the intraoperative celiac duplex scanning (stenosis degree, linear peak systolic circulation rate) of the celiac trunk shower hemodynamic reliable stenosis and were sufficiently different from preoperative findings. The stenosis degree and linear peak systolic circulation rate were less during intraoperative examination than before the operation. Intraoperative, duplex canning allowed compressive stenosis of the seliac trunk to be differentatied in some patients from intravasal one (atherosclerosis and arteritis), and its adequate decompression to be performed. When performing the celiac trunk decompression it is thought to be necessary to fulfill its intraoperative ultrasound duplex scanning before and after elimination of the compression.