Open AccessNomogram for predicting transmural bowel infarction in patients with acute superior mesenteric venous thrombosis
Author(s) -
Meng Jiang,
Changli Li,
ChunQiu Pan,
Wenzhi Lv,
Yufei Ren,
Xin-Wu Cui,
Christoph F. Dietrich
Publication year - 2020
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v26.i26.3800
Subject(s) - medicine , nomogram , bowel infarction , venous thrombosis , thrombosis , infarction , mesenteric vein , mesenteric vascular occlusion , venous thromboembolism , gastroenterology , cardiology , ischemia , myocardial infarction , portal vein
The prognosis of acute mesenteric ischemia (AMI) caused by superior mesenteric venous thrombosis (SMVT) remains undetermined and early detection of transmural bowel infarction (TBI) is crucial. The predisposition to develop TBI is of clinical concern, which can lead to fatal sepsis with hemodynamic instability and multi-organ failure. Early resection of necrotic bowel could improve the prognosis of AMI, however, accurate prediction of TBI remains a challenge for clinicians. When determining the eligibility for explorative laparotomy, the underlying risk factors for bowel infarction should be fully evaluated.