Management of Mesenteric Venous Ischaemia: A Case Series With Newer Approaches.
| Autor: | Salem R; General Surgery, Wexham Park Hospital, Slough, GBR., Hameed W; Colorectal Surgery, Wexham Park Hospital, Slough, GBR., Ravikumar R; Radiology, Apollo Hospitals, Chennai, IND., Bharathkumar M; Gastroenterology, Apollo Hospitals, Chennai, IND., Devachandran J; Intensive Care Unit, Apollo Hospitals, Chennai, IND., Samraj K; Upper Gastrointestinal Surgery, Wexham Park Hospital, Slough, GBR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Jun 07; Vol. 14 (6), pp. e25704. Date of Electronic Publication: 2022 Jun 07 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.25704 |
| Abstrakt: | Mesenteric venous thrombosis is a rare condition that can result in morbid and sometimes fatal consequences. Conventional approaches have been to either resect and raise a stoma and/or anticoagulate. The disadvantage is that the conventional approaches do not address the underlying thrombus. This sometimes can lead to a downward spiral of worsening ischaemia culminating in further resections leading to loss of bowel length and subsequent short bowel syndrome. In this article, we present a case series that describes four possible approaches: (1) expectant management with anticoagulation, (2) resect, anti-coagulate, and reanastamose, (3) surgical thrombectomy (using Fogarty catheter), and (4) radiological thrombectomy. The technique along with criteria for different approaches are described. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Salem et al.) |
| Databáze: | MEDLINE |
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