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Окружающие ткани сдавливают ствол, сужая просвет, и к органам поступает меньше крови, чем нужно [2](https://ProBolezny.ru/stenoz-chrevnogo-stvola/)[3](https://www.10gkb.by/informatsiya/stati/sindrom-danbara). Со временем стеноз приводит к хронической абдоминальной ишемии — постоянному кислородному голоданию желудка, печени и селезёнки [2](https://ProBolezny.ru/stenoz-chrevnogo-stvola/)[3](https://www.10gkb.by/informatsiya/stati/sindrom-danbara).\n\n\n\n## Причины\n**Большинство случаев** вызваны врождёнными аномалиями развития [3](https://www.10gkb.by/informatsiya/stati/sindrom-danbara). Например, дугообразная связка диафрагмы располагается ниже места отхождения сосуда от аорты, из-за чего соединительнотканные волокна пережимают артерию [3](https://www.10gkb.by/informatsiya/stati/sindrom-danbara)[4](https://yandex.ru/medicine/disease/kompressionnyj-stenoz-chrevnogo-stvola). \n\n**У части пациентов** стеноз развивается как приобретённая болезнь [3](https://www.10gkb.by/informatsiya/stati/sindrom-danbara). В этом случае сдавление артерии обусловлено новообразованиями и увеличенными лимфатическими узлами, которые располагаются вблизи аорты [3](https://www.10gkb.by/informatsiya/stati/sindrom-danbara).\n\n## Симптомы\n**Некоторые симптомы стеноза чревного ствола**: \n* боль в животе после приёма пищи [2](https://ProBolezny.ru/stenoz-chrevnogo-stvola/)[4](https://yandex.ru/medicine/disease/kompressionnyj-stenoz-chrevnogo-stvola); \n* диспепсические расстройства: изжога, тошнота, горечь во рту, проблемы со стулом [4](https://yandex.ru/medicine/disease/kompressionnyj-stenoz-chrevnogo-stvola); \n* прогрессирующая потеря веса [4](https://yandex.ru/medicine/disease/kompressionnyj-stenoz-chrevnogo-stvola); \n* слабость и утомляемость [4](https://yandex.ru/medicine/disease/kompressionnyj-stenoz-chrevnogo-stvola). \n\n**В ряде случаев** стеноз протекает бессимптомно [8](https://ru.wikipedia.org/wiki/%D0%9A%D0%BE%D0%BC%D0%BF%D1%80%D0%B5%D1%81%D1%81%D0%B8%D0%BE%D0%BD%D0%BD%D1%8B%D0%B9_%D1%81%D1%82%D0%B5%D0%BD%D0%BE%D0%B7_%D1%87%D1%80%D0%B5%D0%B2%D0%BD%D0%BE%D0%B3%D0%BE_%D1%81%D1%82%D0%B2%D0%BE%D0%BB%D0%B0).\n\n## Диагностика\n**Для диагностики стеноза чревного ствола используют, например**: \n* **Ангиографию сосудов брюшной полости** — в артерию пациента вводят контрастное вещество, которое заполняет сосуд и отображается на рентгеновских снимках [8](https://ru.wikipedia.org/wiki/%D0%9A%D0%BE%D0%BC%D0%BF%D1%80%D0%B5%D1%81%D1%81%D0%B8%D0%BE%D0%BD%D0%BD%D1%8B%D0%B9_%D1%81%D1%82%D0%B5%D0%BD%D0%BE%D0%B7_%D1%87%D1%80%D0%B5%D0%B2%D0%BD%D0%BE%D0%B3%D0%BE_%D1%81%D1%82%D0%B2%D0%BE%D0%BB%D0%B0)[9](https://diseases.medelement.com/disease/4080). \n* **Компьютерную томографию (КТ) с контрастированием** — позволяет получить детализированные изображения сосудов и оценить степень сужения артерии [10](https://DOCTU.ru/consult/question/kakie-analizy-dlja-proverki-diagnoza-stenoza-chrevnogo-stvola). \n* **Магнитно-резонансную ангиографию (МРА)** — даёт возможность исследовать кровоток и анатомию сосудов без применения ионизирующего излучения [10](https://DOCTU.ru/consult/question/kakie-analizy-dlja-proverki-diagnoza-stenoza-chrevnogo-stvola).\n\n## Лечение\n**Лечение стеноза чревного ствола бывает консервативным и оперативным** [12](https://doctorpuzanov.ru/dunbar). **Консервативная терапия** возможна в стадии компенсации и субкомпенсации, направлена на купирование симптомов [12](https://doctorpuzanov.ru/dunbar). **Оперативное лечение** назначают, если консервативная терапия оказалась неэффективной [12](https://doctorpuzanov.ru/dunbar). \n\n**Некоторые методы оперативного лечения**: \n* **Декомпрессия чревного ствола** — рассекают брюшную стенку, а затем — давящие на ствол структуры [11](https://elizahospital.ru/2021/07/21/%D1%81%D1%82%D0%B5%D0%BD%D0%BE%D0%B7-%D1%87%D1%80%D0%B5%D0%B2%D0%BD%D0%BE%D0%B3%D0%BE-%D1%81%D1%82%D0%B2%D0%BE%D0%BB%D0%B0-%D1%81%D0%B8%D0%BD%D0%B4%D1%80%D0%BE%D0%BC-%D0%B4%D0%B0%D0%BD%D0%B1%D0%B0/)[12](https://doctorpuzanov.ru/dunbar). \n* **Реконструктивные операции** — рекомендуются при выраженных изменениях, которые не позволяют освободить чревный ствол от сдавливающих тканей [12](https://doctorpuzanov.ru/dunbar). \n* **Эндоваскулярная операция** — чревный ствол расширяют с помощью баллонного дилататора или стента [11](https://elizahospital.ru/2021/07/21/%D1%81%D1%82%D0%B5%D0%BD%D0%BE%D0%B7-%D1%87%D1%80%D0%B5%D0%B2%D0%BD%D0%BE%D0%B3%D0%BE-%D1%81%D1%82%D0%B2%D0%BE%D0%BB%D0%B0-%D1%81%D0%B8%D0%BD%D0%B4%D1%80%D0%BE%D0%BC-%D0%B4%D0%B0%D0%BD%D0%B1%D0%B0/)[12](https://doctorpuzanov.ru/dunbar).","linksData":[{"sourceId":1,"url":"https://OpenClinics.ru/bolezni/stenoz/stenoz-chrevnogo-stvola-bryushnoy-aorty/","shownUrl":"https://OpenClinics.ru/bolezni/stenoz/stenoz-chrevnogo-stvola-bryushnoy-aorty/","title":"Стеноз чревного ствола: симптомы и лечение стеноза брюшной аорты","shortUrl":"OpenClinics.ru","isTranslated":false,"description":"","greenUrl":"OpenClinics.ru"},{"sourceId":2,"url":"https://ProBolezny.ru/stenoz-chrevnogo-stvola/","shownUrl":"https://ProBolezny.ru/stenoz-chrevnogo-stvola/","title":"Стеноз чревного ствола (синдром Данбара): причины, симптомы и лечение в статье малоинвазивного хирурга Пузанов С. 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