Step-up strategy for diagnosis and treatment of acute superior mesenteric venous thrombosis / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 516-520, 2014.
Artigo
em Chinês
| WPRIM (Pacífico Ocidental)
| ID: wpr-239368
Biblioteca responsável:
WPRO
ABSTRACT
Acute superior mesenteric venous thrombosis is rare. With advance in CT venography, angiography and diagnostic laparoscopy, the incidence of acute superior mesenteric venous thrombosis has increased worldwide with more access to early diagnosis. The use of anticoagulation medication, interventional radiology, and damage control approach has resulted in better clinical outcomes. At present, the new step-up approach for acute superior mesenteric venous thrombosis includes CT venography as the main diagnostic technique, anticoagulation as the cornerstone of therapy, local transcatheter thrombolytic therapy as the key recanalization method, and adjunctive use of arterial spasmolysis and various endovascular manipulation and damage control surgery by intestinal resection plus jejunostomy and ileostomy or open abdomen. This strategy may further improve clinical outcomes. This review will present the most recent advance in this strategy.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Doença Cardiovascular
/
Tromboembolismo Venoso
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Terapêutica
/
Terapia Trombolítica
/
Doença Aguda
/
Trombose Venosa
/
Diagnóstico
/
Veias Mesentéricas
Tipo de estudo:
Estudo diagnóstico
/
Estudo de rastreamento
Limite:
Humanos
Idioma:
Chinês
Revista:
Chinese Journal of Gastrointestinal Surgery
Ano de publicação:
2014
Tipo de documento:
Artigo