A systematic review of the management of acute superior mesenteric vein thrombosis in adults

作     者：Eimear Phoenix Jonathan Beck Timothy J.Patterson Robert A.J.Spence Mark A.Taylor Gary M.Spence 

作者机构：Department of General SurgeryUlster Hospital DundonaldDundonaldUK Hepatobiliary Surgical UnitMater Infirmorum HospitalBelfastUK 

出 版 物：《Journal of Pancreatology》 (胰腺病学杂志（英文）)

年 卷 期：2020年第3卷第3期

页      面：111-120页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Acute mesenteric ischemia Mesenteric vein Thrombus 

摘      要：Background:Acute thrombosis of the superior mesenteric vein(SMV)is a rare but potentially catastrophic *** separate from portal venous thrombosis due to a higher proportion of associated thrombophilic disorders and intestinal infarction,SMV thrombosis warrants a distinct approach to *** aim of this review is to report the evidence for current ***:A systematic review was carried out in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses *** clinical trials databases and 4 trial registries were *** search was not limited by language or study type,but was limited to an adult population(18 years and above).The search period was between January 1,2000 and February 28,*** review was registered in the PROSPERO database:*** was assessed using the ROBINS-I ***:A total of 7989 studies were identified,resulting in 19 observational studies being *** studies reported on anti-coagulation,1 reported on anti-coagulation plus endovascular thrombectomy,9 reported on thrombolysis,and 10 reported on the role of *** assessment showed that confounding was a significant area of potential *** review has reported that the management of SMV thrombosis is centered around a patients’perceived hemodynamic *** there is evidence of perforation or peritonism then surgical intervention is ***,anti-coagulation or thrombolysis is ***:The data reported were compared with,and added to,that presented by the European Society for Vascular Surgery 2017 *** the source data were heterogenous,with multiple sources of bias and statistical comparison was not achievable.