The authors analyze the possibilities and importance of angiographic examinations in the clinical differential diagnosis of patients with atypical epigastric complaints. They demonstrate that in congenital anomalies of the arteries tripus Halleri the examinations do not make it possible to assess hypoperfusion of the epigastric organs. Based on data in the literature they point out that there is often disagreement between clinical symptoms and pressure gradients of intravasally angiographically stenoses of the trunk of the coeliac vein found on operation. From hitherto assembled results it may be, however, expected that two-dimensional Doppler ultrasonic evaluation of the blood flow through the blood vessels will contribute towards the objectivization of the assessment of the blood supply of the epigastric organs. The non-invasive examination can be used also during activity of organs or after administration of drugs.

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