Venous acute disturbance of mesenteric circulation: diagnosis and treatment

Хрипун, А И; Шурыгин, С. Н.; Миронков, А. Б.; Pryamikov, A D

doi:10.17116/hirurgia20171295-102

Khir. Z. im. N.I. Pirogova

2017

DOI: 10.17116/hirurgia20171295-102

|View full text |Cite

Venous acute disturbance of mesenteric circulation: diagnosis and treatment

А И Хрипун

С. Н. Шурыгин

А. Б. Миронков

et al.

Abstract: Кафедра хирургии и эндоскопии (зав.-д.м.н., проф. А.И. Хрипун) факультета дополнительного профессионального образования Российского национально-исследовательского медицинского университета им. Н.И. Пирогова; 2 ГБУЗ «Городская клиническая больница им. В.М. Буянова» (главный врач-к.м.н. А.В. Саликов) Департамента здравоохранения Москвы, Москва, Россия Ключевые слова: острое нарушение мезентериального кровообращения, диагностика, лечение.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2022

2024

Publication Types

Select...

Article3

Relationship

Self Cite0

Independent3

Authors

Journals

Cited by 3 publications

References 79 publications

(177 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

Treatment of vascular complications following orthotopic liver transplantation. The experience of a regional cente

Korobka,

Kostrykin,

Malevanny

et al. 2023

RJTAO

View full text Add to dashboard Cite

Objective: vascular complications (VCs) following liver transplantation (LT) can pose a significant threat to the recipient’s life – as the risk of graft loss increases significantly when blood flow in the graft is impaired. Diagnosis and early treatment of VCs seems to be a pressing issue in transplantology. The aim of this study is to evaluate the incidence, treatment and outcome of VCs in patients after orthotopic LT at the Center for Surgery and Donor Coordination, Rostov Regional Clinical Hospital.Materials and methods. Between July 2015 and April 2023, 100 orthotopic LTs were performed. VCs were retrospectively identified and analyzed.Results. The overall incidence of VCs was 24% (n = 24): hepatic artery stenosis, 5% (n = 5); intra-abdominal bleeding, 6% (n = 6); hepatic artery dissection, 2% (n = 2); intrahepatic venous thrombosis Budd–Chiari syndrome), 2% (n = 2); portal vein thrombosis, 1% (n = 1); inferior vena cava thrombosis/iliofemoral deep vein thrombosis, 2% (n = 2); inferior vena cava stenosis, 1% (n = 1); hepatic vein stenosis, 1% (n = 1); recurrent hepatic artery stenosis/thrombosis, 2% (n = 2); mesenteric vein thrombosis, 2% (n = 2).Conclusion. Most VCs following orthotopic LT occur in the early postoperative period and can lead to a high risk of graft dysfunction and patient death. Early recognition, diagnosis, and treatment of post-LT complications are critical to successful short- and long-term graft function and patient survival, even in patients with asymptomatic complications. Treatment options typically include surgical revascularization, percutaneous thrombolysis, percutaneous angioplasty, retransplantation, or, less commonly, a conservative approach.

show abstract

Treatment of vascular complications following orthotopic liver transplantation. The experience of a regional cente

Korobka,

Kostrykin,

Malevanny

et al. 2023

RJTAO

View full text Add to dashboard Cite

show abstract

Hybrid treatment of recurrent venous mesenteric thrombosis with small intestinal necrosis

Grigoryev,

Novozhilov,

Grigoryev

2024

Acta biomedica scientifica

View full text Add to dashboard Cite

The article presents a clinical case of a 39-year-old patient with thrombosis and postoperative rethrombosis of the superior mesenteric vein. The disease was complicated by the small intestine necrosis and abdominal surgical infection. Successful thrombectomy and bowel resection made it possible to restore mesenteric blood supply, to stabilize the patient’s condition and to perform an enteroenteroanastomosis. Due to antithrombin III deficiency, rethrombosis in the early postoperative period was complicated by anastomotic leak, unformed intestinal fistula and peritonitis. A hybrid treatment (surgical, parasurgical and conservative) was performed, which included selective infusion of a thrombolysis activator at the superior mesenteric artery mouth. The patient recovered.Clinical and laboratory manifestations of superior mesenteric vein thrombosis, in contrast to acute circulatory disorders in the arteriomesenteric system, are nonspecific and do not always allow timely diagnosis of intestinal ischemia. MSCT angiography identifies venous mesenteric thrombosis in most cases. The ineffectiveness of anticoagulant therapy against the background of antithrombin III deficiency caused superior mesenteric vein thrombosis and rethrombosis. The treatment of the small intestine critical postoperative ischemia included an increase in the volume of antithrombin III and frozen plasma intravenous infusion and selective administration of a thrombolysis activator (actilyse) into the superior mesenteric artery, which made it possible to restore the arteriolovenular intramural blood flow of the small intestine and to prevent another stem rethrombosis of the superior mesenteric vein. Laparostomy using a silicone plate made it possible to constantly monitor the course of the abdominal infectious process and to make timely decisions about the next intervention if medically required. The vacuum assisted design provided permanent lavage of the abdominal cavity without trauma to the soft tissues of the abdominal wall and presenting intestinal loops.

show abstract

Extended necrotic intestinal lesions in a 12-year-old child with thrombophilia

Гаймоленко

Kashafeeva

Mazin

et al. 2022

Russian Journal of Pediatric Surgery

View full text Add to dashboard Cite

Introduction. The hereditary tendency to thrombosis in children has been studied for the past 20 years due to molecular genetics. Currently, about 40 point mutations are known.Purpose. The article presents a clinical case taken from the authors’ practice which demonstrates thrombophilia complications in a child.Material and methods. A 12-year old girl was admitted to the registration department of the Regional Children’s Clinical Hospital (Chita) with abdominal pain and multiple vomitings. The complete blood count (CBC) revealed a marked hemoconcentration. Thrombophilia was diagnosed before the patients was hospitalized.Results. The performed surgical treatment was made by stages because of the extended necrotic lesion of the intestine. The testing of genetic polymorphism associated with thrombophilia risks revealed risk alleles FGB*455GA in the patientConclusion. The given article describes specific manifestations of gastrointestinal tract lesion, difficulties in diagnostics and care of complications in a patient with thrombophilia.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Venous acute disturbance of mesenteric circulation: diagnosis and treatment

Cited by 3 publications

References 79 publications

Treatment of vascular complications following orthotopic liver transplantation. The experience of a regional cente

Treatment of vascular complications following orthotopic liver transplantation. The experience of a regional cente

Hybrid treatment of recurrent venous mesenteric thrombosis with small intestinal necrosis

Extended necrotic intestinal lesions in a 12-year-old child with thrombophilia

Contact Info

Product

Resources

About