RADIOLOGICAL AND CLINICAL EVALUATION OF LONG-STANDING DIABETIC PATIENTS FOR LIMB ISCHAEMIA AND ABDOMINAL VESSEL INVOLVEMENTS (SMA) AT NKP SALVE INSTITUTE OF MEDICAL SCIENCES, NAGPUR
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 8
Abstract
BACKGROUND Peripheral arterial disease refers to the obstruction or deterioration of arteries other than those supplying the heart and within the brain. There are a number of pathologic processes like diabetes that manifests their effects on the arterial circulation. Chronic mesenteric ischaemia is a medical condition connected with stenosis of the mesenteric arteries and inadequate blood supply to the small intestine wall. In our study, we are evaluating the patients of long-standing diabetes mellitus for limb ischaemia/ gangrene and mesenteric artery stenosis and ischaemia. The purpose of this study is to determine the prevalence of asymptomatic abdominal vessel stenosis in long-standing diabetic patients presenting with chronic limb ischaemia and diabetic foot ulcer. MATERIALS AND METHODS In this descriptive study, 68 diabetic patients with CLI and ulcer and/or gangrene of the foot admitted in our hospital came for treatment between June 2013 and December 2014. All patients were subjected to arterial colour Doppler of lower limb and abdominal vessels. RESULTS On Doppler examination, 48 patients out of 68 (71%) had normal vessel diameter. 15 patients (22%) had reduction in the diameter of the vessel upto 3 mm and 5 patients (7%) had significant reduction in diameter for more than 3 mm. CONCLUSION Hence, this study recommends the screening of abdominal vessels for early detection of abdominal vessel stenosis in long-standing diabetic patients
Authors and Affiliations
Deshmukh S. D, Sonarkar R, Sushrut M. Fulare, Chandak N
Keywords
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- EP ID EP410145
- DOI 10.14260/jemds/2018/235
- Views 63
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