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

Journal of Pancreatology 2020年第3期3卷 111-120页

作者： eimear phoenix Jonathan Beck Timothy J.Patterson Robert A.J.Spence Mark A.Taylor Gary M.Spence Department of General Surgery Ulster Hospital DundonaldDundonaldUK Hepatobiliary Surgical Unit Mater Infirmorum HospitalBelfastUK

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.

关键词： Acute mesenteric ischemia Mesenteric vein Thrombus

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