ArticleDigestive diseases and sciences2018
Arteriosclerosis Is a Major Predictor of Small Bowel Vascular Lesions.
Article in Digestive diseases and sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 9 citations in OpenAlex.
- Arterial Calcification in Small-Bowel Angioectasia: Comorbidity Marker or Independent Predictor?Digestive diseases and sciences · 2026Article
- Association Between Arterial Calcification and Small Bowel Vascular Lesions: A Comparative Study of Angioectasia and Dieulafoy's Lesions.Digestive diseases and sciences · 2026Article
- Neural network assessment of aortic, iliac, renal, and mesenteric artery calcification in CTA: Normalized scoring framework and comparison to threshold-based method.Acta radiologica open · 2026Article
- Ureteroenteric strictures after cystectomy: Side-specific risk factors and radiological assessment.BJUI compass · 2024Article
- Risk of Rebleeding in Patients with Small Bowel Vascular Lesions.Internal medicine (Tokyo, Japan) · 2021Article
- Bile pigment in small-bowel water content may reflect bowel habits: a retrospective analysis of a capsule endoscopy imaging series.BMC gastroenterology · 2020Article
- Cardiac Biomarkers and Subsequent Risk of Hospitalization With Bleeding in the Community: Atherosclerosis Risk in Communities Study.Journal of the American Heart Association · 2020Article
- Colonic hypoperfusion following ligation of the inferior mesenteric artery in rectosigmoid colon cancer patients.Annals of surgical treatment and research · 2019Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost studies have focused on evaluating the association between the presence of small bowel vascular lesions (SBVLs) and patients' comorbidities.
aimsWe sought to uncover a more fundamental indicator that may predict the presence of SBVLs by considering atherosclerosis qualitatively and quantitatively.
methodsWe enrolled 79 consecutive patients with obscure gastrointestinal bleeding who had undergone computed tomography (CT) and capsule endoscopy or double-balloon endoscopy from January 2015 to June 2017. The SBVL frequency, type, and location, and the relationship between the presence of SBVLs and the patients' clinical characteristics were evaluated. Arterial wall calcification was assessed on unenhanced CT images, and a modified Agatston scoring system was used to determine the abdominal aorta calcium scores.
resultsOf the 27 (34%) patients with SBVLs, 15 (19%) had type 1a, 12 (15%) had type 1b, and 2 (3%) had type 2a SBVLs. Most of the lesions were located in the jejunum. Cardiovascular disease (P = .017), chronic kidney disease (P = .025), and arteriosclerosis (P = .0036) were associated with the presence of SBVLs. Subsequent multivariate analysis revealed that arteriosclerosis (odds ratio [OR] 7.29; 95% confidence interval [CI] 1.13-143.9) and superior mesenteric artery calcification (OR 16.3; 95% CI 3.64-118.6) were independent predictors of the presence of SBVLs. The modified Agatston score was significantly higher in SBVL cases than in non-SBVL cases (6384 vs. 2666, P = .0023).
conclusionsArteriosclerosis, especially increased superior mesenteric artery calcification, is associated with an increased likelihood of SBVLs.
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