ENG  Vol.5 No.10 B , October 2013
Experience on Diagnosis and Treatment of Strangulated Intestinal Obstruction Caused by Mesentery Vein Thrombosis on Account of Portal Hypertension
Author(s) Songbing He, Xinguo Zhu*
Abstract

In the present study, to investigate diagnosis and treatment of strangulated intestinal obstruction caused by mesentery vein thrombosis on account of portal hypertension, the data in twelve patients with this disease from 1998 to 2008 were analyzed. All patients presented abdominal pain and vomiting and were confirmed strangulated intestinal obstruction caused by mesentery thrombosis with operation. In this group, nine patients underwent part of small intestine excision, and three patients underwent open-closed operation because of the whole small intestine necrosis caused by intensive mesentery thrombosis. Five patients died after operation. The diagnosis of strangulated intestinal obstruction caused by mesentery thrombosis was difficult because of the slow disease processes and severe outcomes. It is necessary to take some measures to get over the dangers duration after operation.


Cite this paper
He, S. and Zhu, X. (2013) Experience on Diagnosis and Treatment of Strangulated Intestinal Obstruction Caused by Mesentery Vein Thrombosis on Account of Portal Hypertension. Engineering, 5, 368-370. doi: 10.4236/eng.2013.510B074.
References

[1]   M. C. Wang, S. Li, J. Y. Zhu, X. S. Leng and R. Y. Du, “The Reason and Treatment of Portal Vein Thrombosis in Patients with Portal Hypertension Postoperation,” Zhong- hua Wai Ke Za Zhi, Vol. 42, 2004, pp. 269-271.

[2]   J. Turnes, J. C. GarcíaPagán, M. González, C. Aracil, J. L. Calleja, C. Ripoll, J. G. Abraldes, R. Bañares, C. Villanueva, A. Albillos, J. R. Ayuso, R. Gilabert and J. Bosch, “Portal Hypertension-Related Complications after Acute Portal Vein Thrombosis: Impact of Early Anticoagulation,” Clinical Gastroenterology and Hepatology, Vol. 6, 2008, pp. 1412-1417. http://dx.doi.org/10.1016/j.cgh.2008.07.031

[3]   O. Harmanci and Y. Bayraktar, “Portal Hypertension Due to Portal Venous Thrombosis: Etiology, Clinical Outcomes,” World Journal of Gastroenterology, Vol. 13, 2007, pp. 2535-2540.

[4]   C. Vivian, McAlister, A. Noha and Al-Saleh, “Duodenal Dearterialization and Stapling for Severe Hemorrhage from Duodenal Varices with Portal Vein Thrombosis,” The American Journal of Surgery, Vol. 189, 2005, pp. 49- 52. http://dx.doi.org/10.1016/j.amjsurg.2004.04.011

[5]   O. Ates, G. Hakgüder, M. Olguner, M. Seçil, I. Karaca and F. M. Akgür, “Mesenterico Left Portal Bypass for Variceal Bleeding Owing to Extrahepatic Portal Hypertension Caused by Portal Vein Thrombosis,” Journal of Pediatric Surgery, Vol. 41, 2006, pp. 1259-1263. http://dx.doi.org/10.1016/j.jpedsurg.2006.03.043

[6]   A. C. Chin, F. Thow and R. A. Superina, “Previous Portal Hypertension Surgery Negatively Affects Results of Mesenteric to Left Portal Vein Bypass,” Journal of Pediatric Surgery, Vol. 43, 2008, pp. 114-119. http://dx.doi.org/10.1016/j.jpedsurg.2007.09.032

[7]   Y. M. Galeev, Y. B. Lishmanov, E. G. Grigorev, M. V. Popov, K. A. Aparcin and O. V. Salato, “Scintigraphic Visualization of Bacterial Translocation in Experimental Strangulated Intestinal Obstruction,” European Journal of Nuclear Medicine and Molecular Imaging, Vol. 36, 2009, pp. 1822-1828. http://dx.doi.org/10.1007/s00259-009-1146-5

 
 
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