Mesenteric Vascular Occlusion: A Therapeutic Challenge - Our Experience Of Five Cases.

ABSTRACT

Acute mesenteric ischaemia (AMI) is an uncommon event and requires comprehensive clinical care to minimize the morbidities and mortality associated with the condition. SBS is a common occurrence in A M I patients who undergo massive bowel resection due to reduced intestinal absorptive surface area. We report our experience of five patients with AMI, who presented at our surgical emergency within a period of one and half year (Aug 2015 – Dec 2016) with a follow–up of one year and their outcome so as to encourage others in managing such a challenge with more positive mindsets. A mortality rate of 20 %( 1/5) was observed. A structured clinical approach, timely surgical intervention with exteriorisation of anastomosed bowel loop and multidisciplinary post operative management are essential for managing such frail patients to achieve best possible results.