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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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Ischemic colitis due to obstruction of mesenteric and splenic veins: A case report

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World Journal of Gastroenterology 2008年第14期14卷 2272-2276页

作者： Seong-Su Hwang Woo-Chul Chung Kang-Moon Lee Hyun-Jin Kim Chang-Nyol Paik Jin-Mo Yang Department of Radiology St. Vincent Hospital the Catholic University Suwon-si Gyeonggi-do 442-723 Korea Department of Internal Medicine St. Vincent Hospital the Catholic University Suwon-si Gyeonggi-do 442-723 Korea

Ischemic injury to the bowel is a well known disease entity that has a wide spectrum of pathological and clinical findings. A sudden drop in the colonic blood supply is essential to its development. We encountered a 41-year-old male patient, who presented with abdominal pain and bloody diarrhea. A colonoscopy showed markedly edematous mucosa with tortuous dilatation of the veins and a deep ulceration at the rectosigmoid junction. On an abdominal computed tomography (CT) scan and CT angiography, the mesenteric and splenic veins were absent with numerous venous collaterals for drainage. The patient gradually responded to oral aminosalicylate therapy, and was in remission after nine months. In most cases, non-occlusive ischemic injury is caused by idiopathic form and occlusive ischemia is caused by abnormalities of arteries and acute venous thrombosis. However, chronic venous insufficiency due to obstruction of macrovascular mesenteric vein rarely causes ischemia of the bowel. This report describes the first case of ischemic colitis caused by obstruction of the mesenteric and splenic veins.

关键词： Ischemic colitis mesenteric vein Splenic vein

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Successful treatment of acute symptomatic extensive portal venous system thrombosis by 7-day systemic thrombolysis

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World Journal of Gastrointestinal Surgery 2022年第9期14卷 1082-1088页

作者： Fang-Bo Gao Le Wang Wen-Xiu Zhang Xiao-Dong Shao Xiao-Zhong Guo Xing-Shun Qi Department of Gastroenterology General Hospital of Northern Theater CommandShenyang 110840Liaoning ProvinceChina Postgraduate College Shenyang Pharmaceutical UniversityShenyang 110016Liaoning ProvinceChina

Acute portal venous system thrombosis(PVST)can cause acute mesenteric ischemia and even intestinal infarction,which are potentially fatal,and requires recanalization in a timely ***,we report a 56-year-old man with acute non-cirrhotic symptomatic extensive PVST who achieved portal vein recanalization after systemic thrombolysis combined with ***,anticoagulation with enoxaparin sodium for 4 d was ineffective,and then systemic thrombolysis for 7 d was *** that,his abdominal pain completely disappeared,and portal vein system vessels became gradually ***-term anticoagulation therapy was *** conclusion,7-d systemic thrombolysis may be an effective and safe choice of treatment for acute symptomatic extensive PVST which does not respond to anticoagulation therapy.

关键词： Portal vein mesenteric vein Thrombosis Thrombolysis Anticoagulation Deep vein thrombosis

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