Diagnosis and treatment of nonocclusive mesenteric ischemia: report of 3 cases
- VernacularTitle:非闭塞性肠系膜缺血的诊断和治疗三例报告
- Author:
Zhengming SHI
;
Xihou LIN
;
Nan BAI
- Publication Type:Journal Article
- Keywords:
Mesenteric vascular occlusion;
Ischemia;
Clinical protocols
- From:
Chinese Journal of General Surgery
2000;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study the etiology, preoperative diagnosis and treatment of nonocclusive mesenteric ischemia(NOMI). MethodsClinical data of 3 cases of NOMI from 1992 to 1998 were analyzed retrospectively. ResultsMajor clinical presentations were abdominal pain, gastrointestinal bleeding and abdominal irritation. None was correctly diagnosed preoperatively. Partial ileectomy in 2 cases and right colectomy in 1 case was performed with a mortality of 2/3. Conclusion Early diagnosis and accurate assessment of the bowel viability in exploration were quite difficult. Resection of the infarcted bowel or ′second-look procedure′ were recommended if necessary.
