7,917 results match your criteria Mesenteric Venous Thrombosis


Endovascular treatment of a splenic vein aneurysm through a transhepatic approach.

Diagn Interv Radiol 2019 Feb 18. Epub 2019 Feb 18.

Department of Interventional Radiology, Clínica Universidad de Navarra, Pamplona, Spain.

Aneurysms of the portal vein and its branches have been rarely described. Their natural history is unknown although large ones (>3cm in diameter) have been reported to cause rupture, thrombosis, duodenal or biliary obstruction, inferior vena cava compression and/or portal hypertension. We report the case of an incidentally diagnosed 4. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5152/dir.2019.18057DOI Listing
February 2019

High-dose Intravenous Immunoglobulin to Treat Spontaneous Heparin-induced Thrombocytopenia Syndrome.

J Thromb Haemost 2019 Feb 18. Epub 2019 Feb 18.

Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada.

Spontaneous HIT syndrome is an autoimmune HIT (aHIT) disorder characterized by thrombocytopenia, thrombosis, and HIT antibodies despite no proximate heparin exposure. For unknown reasons, many cases occur after total knee arthroplasty. A 52-year-old woman presented 12 days post-total knee replacement (aspirin thromboprophylaxis) with gastrointestinal bleeding (superior mesenteric vein thrombosis); the platelet count was 63 × 10 L . Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/jth.14411DOI Listing
February 2019

Diagnosis, Development, and Treatment of Portal Vein Thrombosis in Patients With and Without Cirrhosis.

Gastroenterology 2019 Feb 13. Epub 2019 Feb 13.

Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, and Fondazione Luigi Villa, Milano, Italy.

Portal vein thrombosis unrelated to solid malignancy is common in patients with cirrhosis but less frequently observed in patients without cirrhosis. Prompt diagnosis and management of acute symptomatic portal vein thrombosis are essential. Failure to detect and treat thromboses can result in mesenteric ischemia, chronic cavernous transformation, and complications of portal hypertension. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1053/j.gastro.2019.01.265DOI Listing
February 2019

Non-occlusive intestinal ischemia in the ascending colon and rectum: a pediatric case occurring during encephalitis treatment.

Surg Case Rep 2019 Feb 15;5(1):23. Epub 2019 Feb 15.

Department of Pediatrics, Yamanashi Prefectural Central Hospital, Kofu, Japan.

Background: Non-occlusive mesenteric ischemia (NOMI) is a rare and severe pathological condition that can cause intestinal necrosis without mechanical obstruction of the mesenteric artery. NOMI often develops during the treatment of severe disease in elderly patients and mostly occurs in the intestine supplied by the superior mesenteric artery (SMA). We experienced a 12-year-old patient with NOMI that was segmentally localized in the ascending colon and rectum during encephalitis treatment. Read More

View Article

Download full-text PDF

Source
https://surgicalcasereports.springeropen.com/articles/10.118
Publisher Site
http://dx.doi.org/10.1186/s40792-019-0592-yDOI Listing
February 2019
3 Reads

Comparison of intestinal ischemia after on-pump versus off-pump coronary artery bypass grafting surgery

Turk J Med Sci 2019 Feb 11;49(1):11-15. Epub 2019 Feb 11.

Background/aim: Acute mesenteric ischemia (AMI), one of the gastrointestinal system complications, which occurs following cardiac surgery, is challenged in the literature with a diminished incidence of AMI by heart surgery without cardiopulmonary bypass (CPB) or with pulsatile CPB. This study aims to compare the incidence and mortality rate of mesenteric ischemia in a series of consecutive patients undergoing coronary artery bypass grafting (CABG) through on-pump and off-pump techniques.

Materials And Methods: This study included patients who underwent CABG between 1 January 2010 and 31 June 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3906/sag-1705-131DOI Listing
February 2019

Clinical implications of different risk factor profiles in patients with mesenteric venous thrombosis and systemic venous thromboembolism: a population-based study.

J Thromb Thrombolysis 2019 Feb 12. Epub 2019 Feb 12.

Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden.

It is unknown whether the risk factor profile for mesenteric venous thrombosis (MVT) is different from systemic venous thromboembolism (VTE). The aim of the present population-based study was to compare acquired and inherited risk factors in MVT versus VTE. Identification of all MVT patients at Skåne University Hospital between 2000 and 2015 was performed in patient records and AuriculA (Swedish anticoagulation registry). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11239-019-01816-xDOI Listing
February 2019

What predicts the outcome in patients with intestinal ischemia? A single center experience.

J Visc Surg 2019 Feb 8. Epub 2019 Feb 8.

Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany.

Background: Acute mesenteric ischemia (AMI) is associated with a mortality of 60-80%. Early diagnosis and rapid treatment have a decisive influence on therapy. The aim of this study was to evaluate the prognostic value of AMI markers on mortality, in order to better anticipate the clinical course and to initiate therapeutic steps at an early stage. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S18787886193000
Publisher Site
http://dx.doi.org/10.1016/j.jviscsurg.2019.01.007DOI Listing
February 2019
1 Read

Impact of hybrid thoracoabdominal aortic repair on visceral and spinal cord perfusion: The new and improved SPIDER-graft.

J Thorac Cardiovasc Surg 2018 Dec 15. Epub 2018 Dec 15.

Department of Vascular Medicine, University Heart Center Hamburg-Eppendorf, Hamburg, Germany.

Objectives: SPIDER-graft for thoracoabdominal aortic aneurysm repair avoiding thoracotomy and extracorporeal circulation was modified, enabling reimplantation of lumbar arteries to prevent spinal cord ischemia and compared with open aortic repair (control) in a pig model.

Methods: Graft implantation was performed in 7 pigs per group (75-85 kg). For SPIDER-graft (groups I and II), the infra-diaphragmatic aorta was exposed through retroperitoneal access. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jtcvs.2018.11.133DOI Listing
December 2018
1 Read

Neutropenic Enterocolitis in Critically Ill Patients: Spectrum of the Disease and Risk of Invasive Fungal Disease.

Crit Care Med 2019 Feb 7. Epub 2019 Feb 7.

Medical Intensive Care Unit, Hospital Saint Louis, Assistance Publique - Hôpitaux de Paris, France.

Objectives: Neutropenic enterocolitis occurs in about 5.3% of patients hospitalized for hematologic malignancies receiving chemotherapy. Data from critically ill patients with neutropenic enterocolitis are scarce. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/CCM.0000000000003687DOI Listing
February 2019
1 Read

Thirty-day readmission after endovascular or surgical revascularization for chronic mesenteric ischemia: Insights from the Nationwide Readmissions Database.

Vasc Med 2019 Feb 10:1358863X18816816. Epub 2019 Feb 10.

1 Cardiovascular Institute, Warren Alpert Medical School of Brown University, Providence, RI, USA.

There are limited contemporary data on readmission after revascularization for chronic mesenteric ischemia (CMI). This study aimed to determine the rates, reasons, predictors, and costs of 30-day readmission after endovascular or surgical revascularization for CMI. Patients with CMI discharged after endovascular or surgical revascularization during 2013 to 2014 were identified from the Nationwide Readmissions Database. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1358863X18816816DOI Listing
February 2019
1 Read

Review: Acute superior mesenteric artery embolism: A vascular emergency cannot be ignored by physicians.

Medicine (Baltimore) 2019 Feb;98(6):e14446

Department of Gastroenterology.

Background: Acute mesenteric ischemia (AMI) is a life-threatening medical condition that occurs when a sudden decreased perfusion to the intestines which leads to bowel infarction, and acute superior mesenteric artery embolism (ASMAE) is the main cause of AMI. Unfortunately, with the improvement of diagnosis and treatment technology, the mortality remains high due to less frequent clinical suspicion resulted from the unclear clinical manifestation and non-specific laboratory findings.

Methods: Relevant studies published were identified by searching the PubMed, Embase and Cochrane Library databases. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000014446DOI Listing
February 2019
1 Read

Malperfusion in type A aortic dissection: results of emergency central aortic repair.

Gen Thorac Cardiovasc Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Cardiovascular Surgery, Jichi Medical University School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi, 3290498, Japan.

Background: Although outcomes of acute type A aortic dissection (ATAAD) have improved, malperfusion remains associated with high morbidity and mortality rates, and its optimal therapeutic treatment is unknown. Emergency central repair has been performed as our first-line approach for malperfusion. Here, we analyzed outcomes of ATAAD with malperfusion and reassessed emergency central repair. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11748-019-01072-zDOI Listing
February 2019
1 Read

Intestinal necrosis cannot be neglected in a patient with hepatic portal vein gas combined with appendicitis: a rare case report and literature review.

BMC Surg 2019 Feb 4;19(1):17. Epub 2019 Feb 4.

Department of Hepatobiliary Surgery, the Second Affiliated Hospital, Nanchang University, No. 1, mingde road, Nanchang, Jiang xi, China.

Background: Hepatic portal vein gas (HPVG) is a rare acute abdomen, which is not an independent disease. Meanwhile, HPVG combined with appendicitis has been rarely reported. We found only a similar report by looking for literature, but no intestinal necrosis occurred. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12893-019-0478-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360744PMC
February 2019
1 Read

Preservation of Reserve Intestinal Epithelial Stem Cells following Severe Ischemic Injury.

Am J Physiol Gastrointest Liver Physiol 2019 Feb 4. Epub 2019 Feb 4.

Clinical Sciences, North Carolina State University.

Intestinal ischemia is an abdominal emergency with a mortality rate >50%, leading to epithelial barrier loss and subsequent sepsis. Epithelial renewal and repair after injury depend on intestinal epithelial stem cells (ISC) that reside within the crypts of Lieberkühn. Two ISC populations critical to epithelial repair have been described: 1) Active ISC (aISC; highly proliferative; Lgr5+, Sox9+) and 2) reserve ISC (rISC; less proliferative; Hopx+). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1152/ajpgi.00262.2018DOI Listing
February 2019
1 Read

Activation of G protein-coupled estrogen receptor protects intestine from ischemia/reperfusion injury in mice by protecting the crypt cell proliferation.

Clin Sci (Lond) 2019 Feb 8;133(3):449-464. Epub 2019 Feb 8.

Department of Physiology and Pathohysiology, School of Basic Medical Science, Shandong University, Jinan 250012, China

The intestinal ischemia/reperfusion (I/R) injury is a common clinical event related with high mortality in patients undergoing surgery or trauma. Estrogen exerts salutary effect on intestinal I/R injury, but the receptor type is not totally understood. We aimed to identify whether the G protein-coupled estrogen receptor (GPER) could protect the intestine against I/R injury and explored the mechanism. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1042/CS20180919DOI Listing
February 2019
2 Reads
5.598 Impact Factor

Type A Aortic Dissection Complicated by Renal and Lower Extremity Malperfusion.

Adv Emerg Nurs J 2019 Jan/Mar;41(1):23-32

Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas.

Acute aortic dissection is a life-threatening condition with the potential for serious complications such as myocardial infarction, heart failure, stroke, paraplegia, renal failure, mesenteric ischemia, and limb ischemia. Emergency department clinicians must be aware of the potential ischemic complications of aortic dissection and act quickly to prevent irreversible organ damage and death. This article highlights a case of a 49-year-old man who developed renal and lower extremity malperfusion secondary to Stanford Type A aortic dissection. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=01261775-201901000-0000
Publisher Site
http://dx.doi.org/10.1097/TME.0000000000000220DOI Listing
February 2019
3 Reads

Dobutamine Versus Vasopressin After Mesenteric Ischemia.

J Surg Res 2019 Mar 16;235:410-423. Epub 2018 Nov 16.

Institute for Clinical and Experimental Surgery, Saarland University Medical Center, Homburg, Saar, Germany.

Background: Gastrointestinal blood flow may be compromised during and after vasopressor support. Endothelin expression may lead to microcirculatory dysfunction. The aim of this study was to analyze the effect of vasopressin and dobutamine after mesenteric ischemia on the gastrointestinal mucosal microcirculation, endothelin expression, and morphologic injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jss.2018.10.028DOI Listing
March 2019
3 Reads

Predeterminative role of Onuf's nucleus ischemia on mesenteric artery vasospasm in spinal subarachnoid hemorrhage: A preliminary experimental study.

Asian J Surg 2019 Jan 23. Epub 2019 Jan 23.

Ataturk University, Medical Faculty, Department of Pathology, Erzurum, Turkey.

Background: Although posttraumatic mesenteric artery ischemia is attributed to various etiologies, sacral parasympathetic network/mesenteric artery relations have not been studied so far. The primary objective of this study is to elucidate whether there is a relationship between Onuf's nucleus ischemia and mesenteric artery vasospasm following subarachnoid hemorrhage (SAH).

Methods: This study was conducted on 22 rabbits. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.asjsur.2018.12.004DOI Listing
January 2019
7 Reads

Clinical Manifestations of Superior Mesenteric Venous Thrombosis in the Era of Computed Tomography.

Vasc Specialist Int 2018 Dec 31;34(4):83-87. Epub 2018 Dec 31.

Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Purpose: Thrombosis of the portal vein, known as pylephlebitis, is a rare and fatal complication caused by intraperitoneal infections. The disease progression of superior mesenteric venous thrombosis (SMVT) is not severe. This study aimed to determine the clinical features, etiology, and prognosis of SMVT. Read More

View Article

Download full-text PDF

Source
http://www.vsijournal.org/journal/DOIx.php?id=10.5758/vsi.20
Publisher Site
http://dx.doi.org/10.5758/vsi.2018.34.4.83DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340699PMC
December 2018
3 Reads

Risk of Venous Thromboembolism for Patients with Pancreatic Ductal Adenocarcinoma Undergoing Preoperative Chemotherapy Followed by Surgical Resection.

Ann Surg Oncol 2019 Jan 16. Epub 2019 Jan 16.

Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.

Background: Pancreatic ductal adenocarcinoma (PDA) is associated with a hypercoagulable state, resulting in a high risk of venous thromboembolism (VTE). Risk of VTE is well established for patients receiving chemotherapy for advanced disease and during the perioperative period for patients undergoing surgical resection. However, data are lacking for patients undergoing neoadjuvant treatment followed by resection, who may have a unique risk of VTE because of exposure to both chemotherapy and surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1245/s10434-018-07148-zDOI Listing
January 2019
3 Reads
3.930 Impact Factor

Effective kissing stent to severe stenosis of the superior mesenteric artery replacing the common hepatic artery.

CVIR Endovasc 2018 25;1(1):18. Epub 2018 Sep 25.

Department of Cardiovascular Surgery and Department of Cardiology, Yokohama Sakae Kyosai Hospital, 132, Katsuracho, Sakae-ku Yokohama-shi, Kanagawa 247-8581 Japan.

Background: Endovascular therapy (ET) for chronic mesenteric ischemia (CMI) is a effective treatment to relieve the symptoms, such as postprandial abdominal pain, food fear, and progressive weight loss. CMI is not known to be caused by rare anatomical variation of severe stenosis of the superior mesenteric artery (SMA), with replaced the common hepatic artery to the SMA. The treatment of such a rare anatomical variation using ET technique has not been discribed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s42155-018-0025-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319509PMC
September 2018
1 Read

Indications to open surgical revascularization of visceral arteries in the endovascular era.

Rozhl Chir 2018 ;97(11):487-492

Introduction: Due to the high success rate of endovascular procedures, open surgical treatment of visceral arteries has become rarer worldwide. Yet, open surgical techniques remain essential for cases of chronic mesenteric ischemia as well as in other clinical instances.

Methods: Drawing on their own experience and literary data, the authors summarize the indications to open surgical repair of the visceral arteries. Read More

View Article

Download full-text PDF

Source
January 2018
3 Reads

[Vascular causes of clinically unclear acute abdomen].

Radiologe 2019 Feb;59(2):133-138

Klinische Abteilung für Kardiovaskuläre und Interventionelle Radiologie, Universitätsklinik für Radiologie und Nuklearmedizin, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.

Clinical Issue: Vascular abnormalities are a rare cause of an acute abdomen. They include arterial bleeding and ischemia, the latter being either in the arterial or venous system. The most common cause of an acute ischemic abdomen is acute mesenteric ischemia caused by a thromboembolic occlusion of the superior mesenteric artery, followed by thrombotic occlusion of the portal vein, the mesenteric vein as well as the hepatic veins and the suprahepatic part of the inferior vena cava. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00117-018-0489-yDOI Listing
February 2019
3 Reads

Gut derived-endotoxin contributes to inflammation in severe ischemic acute kidney injury.

BMC Nephrol 2019 Jan 11;20(1):16. Epub 2019 Jan 11.

Department of Nephrology, Tongji Hospital, Tongji University School of Medicine, 389 XinCun Road, Shanghai, 200065, China.

Background: Recent researches indicate that the intestinal consequences of renal ischemia reperfusion (IR) would predispose to the translocation of gut-derived endotoxin. Here, we designed experiments to test the hypothesis that the gut-derived endotoxin has a potential role in mediating local inflammatory processes in the acutely injured kidney.

Methods: Rats were performed sham or renal IR surgery (60 min of bilateral renal ischemia, then 24 h of reperfusion) (n = 5). Read More

View Article

Download full-text PDF

Source
https://bmcnephrol.biomedcentral.com/articles/10.1186/s12882
Publisher Site
http://dx.doi.org/10.1186/s12882-018-1199-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329050PMC
January 2019
8 Reads

Multifocal gastrointestinal varices: a rare manifestation of immunoglobulin G4-related disease.

Postgrad Med 2019 Jan 11:1-6. Epub 2019 Jan 11.

a Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine , National Cheng Kung University , Tainan , Taiwan.

Multifocal gastrointestinal varices are uncommon and often associated with liver cirrhosis. They consist of varices at the gastroesophageal region and the other sites (i.e. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/00325481.2019.1
Publisher Site
http://dx.doi.org/10.1080/00325481.2019.1568018DOI Listing
January 2019
6 Reads

Neutrophil elastase plays a non-redundant role in remodeling the venular basement membrane and neutrophil diapedesis post ischemia/reperfusion injury.

J Pathol 2019 Jan 11. Epub 2019 Jan 11.

William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, UK.

Ischemia/reperfusion (I/R) injury is a severe inflammatory insult associated with numerous pathologies such as myocardial infarction, stroke and acute kidney injury. I/R injury is characterized by a rapid influx of activated neutrophils secreting toxic free radical species and degrading enzymes that can irreversibly damage the tissue, thus impairing organ functions. Significant efforts have been invested in identifying therapeutic targets to suppress neutrophil recruitment and activation post I/R injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/path.5234DOI Listing
January 2019
3 Reads

Aryl hydrocarbon receptor activation modulates γδ intestinal intraepithelial lymphocytes and protects against ischemia/reperfusion injury in the murine small intestine.

Mol Med Rep 2019 Mar 4;19(3):1840-1848. Epub 2019 Jan 4.

Department of General Surgery, Xinqiao Hospital, Army Medical University, Chongqing 400037, P.R. China.

The pathogenesis of intestinal ischemia/reperfusion (I/R) is associated with dysregulation of the intestinal immune system. The aryl hydrocarbon receptor (AhR), a receptor expressed in gamma‑delta (γδ) intraepithelial lymphocytes (IELs), is thought to regulate inflammation in the bowel. γδIELs are a key immunologic compartment with a capacity to modulate immune responses. Read More

View Article

Download full-text PDF

Source
http://www.spandidos-publications.com/10.3892/mmr.2019.9823
Publisher Site
http://dx.doi.org/10.3892/mmr.2019.9823DOI Listing
March 2019
5 Reads

The role of ischemic preconditioning in gene expression related to inflammation in a rat model of intestinal ischemia-reperfusion injury.

Acta Cir Bras 2018 Dec;33(12):1095-1102

PhD, Associated Professor, Surgical Technique and Experimental Surgery, UNIFESP, Sao Paulo-SP, Brazil. Manuscript preparation, final approval.

Purpose: To investigate the gene expression related to inflammation on mice subjected to intestinal ischemia and reperfusion (I/R) and treated with ischemic preconditioning (IPC).

Methods: Thirty rats (EPM-Wistar), distributed in five groups of six animals each, were underwent anesthesia and laparotomy. The ischemia time was standardized in 60 minutes and the reperfusion time 120 minutes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/s0102-865020180120000007DOI Listing
December 2018
0.570 Impact Factor

The role of atenolol in the modulation of the expression of genes encoding pro- (caspase-1) and anti- (Bcl2L1) apoptotic proteins in endothelial cells exposed to intestinal ischemia and reperfusion in rats.

Acta Cir Bras 2018 Dec;33(12):1061-1066

PhD, Full Professor, Division of Surgical Techniques and Experimental Surgery, Department of Surgery, UNIFESP, Sao Paulo-SP, Brazil. Conception and design of the study, critical revision, final approval.

Purpose: To investigate the role of atenolol in the gene expression of caspase 1 (Casp1) and Bcl2L1 on vascular endothelium of rat intestine after ischemia and reperfusion (IR).

Methods: Eighteen adult male Wistar rats were randomly divided into 3 groups (n=6): SG (Sham group): no clamping of the superior mesenteric artery; IRG: IR plus saline group: IRG+At: IR plus Atenolol group. Rats from IRG and IRG+At were subjected to 60 min of intestinal ischemia and 120 min of reperfusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/s0102-865020180120000003DOI Listing
December 2018
2 Reads
0.570 Impact Factor

Spontaneous isolated superior mesenteric artery dissection. Systematic review and meta-analysis.

Vascular 2019 Jan 8:1708538118818625. Epub 2019 Jan 8.

2 GreeceDepartment of Vascular Surgery, Medical School, National and Kapodistrian University of Athens, "Attikon" University Hospital, Athens.

Objectives: Spontaneous isolated superior mesenteric artery dissection (SISMAD) is a rare disease with an incidence of 0.06%. The purpose of the meta-analysis was to identify the outcomes associated with the various treatment options in the management of asymptomatic and symptomatic patients with SISMAD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1708538118818625DOI Listing
January 2019
2 Reads

Mesenteric ischemia as an unusual cause of bacteremia in the absence of endocarditis or colorectal neoplasm.

JGH Open 2018 Dec 10;2(6):327-328. Epub 2018 Oct 10.

Jonathan Edwards College Yale University New Haven Connecticut USA.

bacteremia is nearly always pathological and has been associated with colorectal cancer and endocarditis. Here, we present the first published case of bacteremia secondary to acute mesenteric ischemia. This case illustrates the typical presentation of acute mesenteric ischemia with an atypical consequence of bacteremia, as well as the diagnostic evaluations and management options. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jgh3.12094DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6308071PMC
December 2018
1 Read

Technical aspects and 30-day outcomes of the prospective early feasibility study of the GORE EXCLUDER Thoracoabdominal Branched Endoprosthesis (TAMBE) to treat pararenal and extent IV thoracoabdominal aortic aneurysms.

J Vasc Surg 2019 Jan 3. Epub 2019 Jan 3.

W. L. Gore & Associates, Inc, TAMBE Team, Flagstaff, Ariz.

Objective: This study reports the technical aspects and 30-day outcomes of the prospective, multicenter early feasibility study designed to evaluate the GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis (TAMBE; W. L. Gore & Associates, Flagstaff, Ariz). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvs.2018.10.103DOI Listing
January 2019
1 Read

Aberrant splenic artery rising from the superior mesenteric artery: a rare but important anatomical variation.

Surg Radiol Anat 2019 Jan 3. Epub 2019 Jan 3.

General, Digestive, and Endocrine Surgery, Nouvel Hôpital Civil, Université de Strasbourg, 1 Place de L'hôpital, 67100, Strasbourg, France.

Aberrant splenic artery originating from the superior mesenteric artery (SMA) is extremely rare and recognition of this anomaly is important in the pre-operative planning of complex surgery such as pancreatic surgery, liver transplantation and vascular surgery. We present the case of an 80-year-old female diagnosed as septic shock due to mesenteric ischemia and obstructive pyelonephritis. Her splenic artery was originating from the SMA and the anomaly was readily appreciated on the pre-operative CT images. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00276-018-02177-5DOI Listing
January 2019
5 Reads

Bypassing major venous occlusion and duodenal lesions in rats, and therapy with the stable gastric pentadecapeptide BPC 157, L-NAME and L-arginine.

World J Gastroenterol 2018 Dec;24(47):5366-5378

Department of Pharmacology, Medical Faculty, University of Zagreb, Zagreb 10000, Croatia.

Aim: To investigate whether duodenal lesions induced by major venous occlusions can be attenuated by BPC 157 regardless nitric oxide (NO) system involvement.

Methods: Male Wistar rats underwent superior anterior pancreaticoduodenal vein (SAPDV)-ligation and were treated with a bath at the ligated SAPDV site (BPC 157 10 μg, 10 ng/kg per 1 mL bath/rat; L-NAME 5 mg/kg per 1 mL bath/rat; L-arginine 100 mg/kg per 1 mL bath/rat, alone and/or together; or BPC 157 10 μg/kg instilled into the rat stomach, at 1 min ligation-time). We recorded the vessel presentation (filled/appearance or emptied/disappearance) between the 5 arcade vessels arising from the SAPDV on the ventral duodenum side, the inferior anterior pancreaticoduodenal vein (IAPDV) and superior mesenteric vein (SMV) as bypassing vascular pathway to document the duodenal lesions presentation; increased NO- and oxidative stress [malondialdehyde (MDA)]-levels in duodenum. Read More

View Article

Download full-text PDF

Source
https://www.wjgnet.com/1007-9327/full/v24/i47/5366.htm
Publisher Site
http://dx.doi.org/10.3748/wjg.v24.i47.5366DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305534PMC
December 2018
6 Reads
2.369 Impact Factor

Celiac Artery Syndrome After Correction of Kyphoscoliosis.

Spine Deform 2019 01;7(1):176-179

Department of Orthopedics, University Medical Center Utrecht, Heidelberglaan 100 3584 CX, Utrecht, the Netherlands.

Compression of the celiac artery by a tight arcuate ligament of the diaphragm is a rare syndrome that can arise after correction of severe kyphosis. Symptoms include abdominal pain and ileus and liver dysfunctions. These symptoms can be easily attributed to more common causes like the superior mesenteric artery syndrome, and a delay in the diagnosis of celiac artery obstruction may result in severe ischemic disease of the gastrointestinal tract. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jspd.2018.05.006DOI Listing
January 2019
2 Reads

Outcomes of antegrade and retrograde open mesenteric bypass for acute mesenteric ischemia.

J Vasc Surg 2019 Jan 29;69(1):129-140. Epub 2018 Jun 29.

Division of Vascular Surgery & Endovascular Therapy, University of Florida, Gainesville, Fla.

Background: Acute mesenteric ischemia (AMI) is a challenging clinical problem associated with significant morbidity and mortality. Few contemporary reports focus specifically on patients undergoing open mesenteric bypass (OMB) or delineate outcome differences based on bypass configuration. This is notable, because there is a subset of patients who are poor candidates for endovascular intervention including those with flush mesenteric vessel occlusion, long segment occlusive disease, and a thrombosed mesenteric stent and/or bypass. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvs.2018.04.063DOI Listing
January 2019
4 Reads

Commentary: Dynamic Mesenteric Malperfusion in Aortic Dissection.

J Endovasc Ther 2019 Feb 24;26(1):88-89. Epub 2018 Dec 24.

6 Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milano, Milan, Italy.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1526602818820589DOI Listing
February 2019
4 Reads

On the way to functional endoscopy.

Gastrointest Endosc 2019 01;89(1):103-104

Department of Endoscopy, Ulm University, Center of Internal Medicine, Ulm, Germany.

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00165107183299
Publisher Site
http://dx.doi.org/10.1016/j.gie.2018.08.038DOI Listing
January 2019
7 Reads

Benign pneumatosis intestinalis with massive portomesenteric venous gas in a very old man. A case report.

G Chir 2018 Nov-Dec;39(6):391-394

Introduction: Pneumatosis intestinalis (PI) is described as the presence of air within bowel wall. PI aetiology is various: it can be associated with non-urgent or life-threatening conditions. Clinical management is based on physical examination, blood tests and radiology, in particular abdominal CT. Read More

View Article

Download full-text PDF

Source
December 2018
1 Read

Is the risk of contrast-induced nephropathy a real contraindication to perform intravenous contrast enhanced Computed Tomography for non-traumatic acute abdomen in Emergency Surgery Department?

Acta Biomed 2018 Dec 17;89(9-S):158-172. Epub 2018 Dec 17.

Department of Emergency and Trauma Surgery of University Hospital of Parma, Parma, Italy.

Background: Contrast enhanced Computed Tomography (CCT) is the most used imaging test to investigate acute abdominal clinical conditions, because of its high sensitivity and specificity. It is mandatory to make a correct and prompt diagnosis when life threatening abdominal diseases as mesenteric ischemia are suspected. Contrast medium administration was linked to acute renal failure, therefore radiologist often prefer to perform CCT without contrast in patients needing to undergo the exam with increased serum creatinine. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23750/abm.v89i9-S.7891DOI Listing
December 2018

Strategy for the treatment of spontaneous isolated visceral artery dissection.

Eur J Radiol Open 2019 7;6:9-15. Epub 2018 Dec 7.

Department of Radiology, Nippon Medical School, 1-1-5, Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan.

Objectives: To determine the incidence of rare spontaneous isolated visceral artery dissection (SIVAD), characterize its pathogenesis, and suggest treatment strategies.

Materials And Methods: We reviewed abdominal contrast-enhanced computed-tomography (CE-CT) scans from January 2005 to December 2016 retrospectively in our institution, identified 47 SIVAD patients and classified them into a symptomatic (n = 22) or asymptomatic group (n = 25). Further, we classified the five types based on the CE-CT images. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ejro.2018.11.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289943PMC
December 2018
1 Read

Incomplete intestinal obstruction as the possible main complaint in Behcet's disease after surgery for recurrent abdominal aortic pseudoaneurysms: a case report and literature review.

BMC Cardiovasc Disord 2018 Dec 17;18(1):238. Epub 2018 Dec 17.

Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University, 169 Dong'hu Road, Wuhan, 430071, Hubei, People's Republic of China.

Background: Behcet's disease (BD) is a systemic vasculitis characterized by oral and genital aphthosis, and ocular and skin lesions. The disease is involved in vascular, gastrointestinal, and central nervous systems. Vasculitis may exacerbate fatal problems, such as anastomotic pseudoaneurysms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12872-018-0977-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296136PMC
December 2018
3 Reads

Distal landing zone optimization before endovascular repair of aortic dissection.

J Thorac Cardiovasc Surg 2019 Jan 27;157(1):88-98. Epub 2018 Jul 27.

Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, Iowa.

Background: The general goals of endovascular management in chronic distal thoracic aortic dissection are optimizing the true lumen, maintaining branch patency, and promoting false lumen (FL) thrombosis. Distal seal can be challenging in chronic distal thoracic aortic dissection due to the well-established secondary fenestrations and fibrotic septum. We describe our approach of distal landing zone optimization (DLZO) to enable full-diameter contact of the distal endoprosthesis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jtcvs.2018.06.095DOI Listing
January 2019
1 Read

Intravascular Ultrasound-Assisted Endovascular Treatment of Mesenteric Malperfusion in a Multichannel Aortic Dissection With Full True Lumen Collapse.

J Endovasc Ther 2019 Feb 14;26(1):83-87. Epub 2018 Dec 14.

1 Department of Vascular Surgery, Zhongshan Hospital Fudan University, Shanghai, China.

Purpose: To describe endovascular treatment of mesenteric malperfusion in a multichannel aortic dissection (MCAD) with full true lumen (TL) collapse following thoracic endovascular aortic repair (TEVAR).

Case Report: A 54-year-old man presented with chronic mesenteric ischemia and a previous TEVAR for MCAD complicated by superior mesenteric artery (SMA) malperfusion. Computed tomography angiography (CTA) demonstrated a 3-channel aortic dissection with a "false-true-false" configuration. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1526602818815821DOI Listing
February 2019
2 Reads

[Operative treatment of acute mesenteric ischaemia].

Magy Seb 2018 Dec;71(4):149-154

Általános, Ér- és Plasztikai Sebészeti Osztály, Markusovszky Egyetemi Oktatókórház 9700 Szombathely, Markusovszky Lajos u. 5.

Introduction: The incidence of acute mesenteric ischemia (AMI) appears to be increasing due to aging in the population with increasing prevalence of comorbidities. Despite the wide-scale availability of diagnostic technologies, the timely detection and correct treatment are not ensured. This is due to the fact that the required CT angiography is not immediately performed and that vascular surgical reconstruction can be performed within the short ischemic tolerance window of the bowels amounting 4-6 hours. Read More

View Article

Download full-text PDF

Source
https://www.akademiai.com/doi/10.1556/1046.71.2018.4.1
Publisher Site
http://dx.doi.org/10.1556/1046.71.2018.4.1DOI Listing
December 2018
5 Reads

Pancreaticoduodenectomy with Mesocaval Shunt for Locally Advanced Pancreatic Adenocarcinoma.

Ann Surg Oncol 2019 Feb 11;26(2):652. Epub 2018 Dec 11.

Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler, Unit 1484, Houston, TX, USA.

Introduction: Patients with locally advanced pancreatic cancer (LAPC) represent a challenging group to treat, given the involvement of major vascular structures. In selected patients with favorable biology, temporary mesocaval shunt can facilitate the resection and allow for a safer procedure with enhanced exposure to the superior mesenteric vessels.

Methods: We present a video of a pancreaticoduodenectomy (PD) with temporary mesocaval shunt with left internal jugular (LIJ) vein conduit. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1245/s10434-018-07093-xDOI Listing
February 2019

Oral Antibiotics Reduce Intestinal Necrosis in Acute Mesenteric Ischemia: A Prospective Cohort Study.

Am J Gastroenterol 2019 Feb;114(2):348-351

APHP, Department of Gastroenterology, IBD and Intestinal Failure, Beaujon Hospital, 92110, Clichy, France.

Objectives: To identify treatments likely to prevent progression towards irreversible transmural intestinal necrosis (ITIN) in acute mesenteric ischemia (AMI).

Methods: Prospective observational cohort study from a French intestinal stroke center. Multivariate analysis using a time-dependent Cox regression model. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1038/s41395-018-0389-9DOI Listing
February 2019
4 Reads

Acute mesenteric venous thrombosis in a pregnant woman at 35 weeks of gestation: a case report and review of the literature.

BMC Pregnancy Childbirth 2018 Dec 11;18(1):487. Epub 2018 Dec 11.

Department of Obstetrics and Gynecology, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, China.

Background: Mesenteric venous thrombosis (MVT) is an infrequent thrombotic event that can cause devastating intestinal hemorrhagic ischemia. The mortality rate among patients with acute MVT ranges from 20 to 50%. Occurrence of MVT in pregnancy is quite rare. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12884-018-2126-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290498PMC
December 2018
2 Reads

Outcomes of endovascular treatments for in-stent restenosis in patients with mesenteric atherosclerotic disease.

J Vasc Surg 2018 Oct 24. Epub 2018 Oct 24.

Department of Endovascular and Vascular Surgery, Geisinger Medical Center, Danville, Pa.

Objective: Mesenteric angioplasty and stenting (MAS) has surpassed open revascularization as the treatment of choice for mesenteric ischemia. Despite the lower perioperative mortality associated with MAS, the need for reintervention is not infrequent. The purpose of this study was to review the outcomes of patients treated for mesenteric artery in-stent restenosis (MAISR). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvs.2018.08.166DOI Listing
October 2018
2 Reads