Planned Versus On-Demand Relaparotomy Strategy in Initial Surgery for Non-occlusive Mesenteric Ischemia
نویسندگان
چکیده
منابع مشابه
Non-Occlusive Mesenteric Ischemia
Introduction Non-occlusive mesenteric ischemia (NOMI) is an acute mesenteric circulatory disorder that, in contrast to mesenteric arterial occlusion induced by blockage of blood flow by emboli and thrombi, is not caused by organic occlusion of blood vessels. 1 Good outcomes in NOMI are observed with early recognition and treatment. 1-2 The early symptoms and characteristics of NOMI, however, ar...
متن کاملComparison of on-demand and planned relaparotomy for secondary peritonitis
Objective: To compare patient outcomes, healthcare utilization and costs of on-demand and planned relaparotomy in patients with severe secondary peritonitis. Design: Randomized, nonblinded controlled trial. Setting: Two academic and 5 regional teaching hospitals in The Netherlands. Patients: A total of 232 patients with a diagnosis of peritonitis, confirmed during an index laparotomy, and an ac...
متن کاملFatal non-occlusive mesenteric ischemia after esophagectomy.
Non-occlusive mesenteric ischemia (NOMI) is a disorder with an extremely high mortality. Salvage of affected patients requires early recognition and aggressive intervention to prevent intestinal gangrene. We present a case of NOMI developing after esophagectomy and discuss the pathophysiology diagnosis and therapy.
متن کاملComparison of on-demand vs planned relaparotomy strategy in patients with severe peritonitis: a randomized trial.
CONTEXT In patients with severe secondary peritonitis, there are 2 surgical treatment strategies following an initial emergency laparotomy: planned relaparotomy and relaparotomy only when the patient's condition demands it ("on-demand"). The on-demand strategy may reduce mortality, morbidity, health care utilization, and costs. However, randomized trials have not been performed. OBJECTIVE To ...
متن کاملMesenteric panniculitis presenting with acute non-occlusive colonic ischemia
BACKGROUND The role of positron emission tomography (PET) of the mesentery as a diagnostic modality in cases of mesenteric panniculitis is unclear. CASE PRESENTATION A 67-year-old woman presented with rectal bleeding due to nonocclusive colonic ischemia. Abdominal CT showed features of mesenteric panniculitis. PET-CT demonstrated no abnormal fluorine-18 fluordeoxyglucose uptake in the affecte...
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ژورنال
عنوان ژورنال: Journal of Gastrointestinal Surgery
سال: 2020
ISSN: 1091-255X,1873-4626
DOI: 10.1007/s11605-020-04792-3