SynthesisScandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society2021
Management of Acute Mesenteric Venous Thrombosis: A Systematic Review of Contemporary Studies.
Synthesis in Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 60 citations in OpenAlex.
- Early and Late Complications After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass: A Narrative Review.Journal of metabolic and bariatric surgery · 2026Review
- Inferior mesenteric vein thrombosis in an elderly woman with antiphospholipid syndrome: A case report and review of the literature.Radiology case reports · 2026Article
- Hypoplasia of the inferior vena cava with compensatory azygos-hemiazygos dilatation complicated by superior mesenteric vein thrombosis and small bowel ischemia.Journal of vascular surgery cases and innovative techniques · 2026Article
- Pylephlebitis With Reversible Mesenteric Ischemia in a Patient With Complicated Acute Appendicitis: A Case Report.Cureus · 2026Article
- Small Bowel Ischemia Secondary to Splanchnic Venous Thrombosis in a Postpartum Patient-A Case Report.International medical case reports journal · 2026Article
- Case Report: Fatal mesenteric venous thrombosis and progressive bowel ischemia following right hemihepatectomy.Frontiers in surgery · 2026Article
- Update in the treatment of cirrhotic patients with portal vein thrombosis.Clinical and molecular hepatology · 2025Review
- Operative Management of Acute Mesenteric Venous Thrombosis With Extensive Intestinal Ischemia: A Case Report.Cureus · 2025Article
- Endovascular management of acute superior mesenteric vein thrombosis: a retrospective study on thrombolysis outcomes.CVIR endovascular · 2025Article
- Management of gastrointestinal bleed in the intensive care setting, an updated literature review.World journal of critical care medicine · 2025Review
- Tricky acute mesenteric ischemia: what can we do?Gastroenterology report · 2025Review
- Successful direct oral anticoagulant management of asymptomatic superior mesenteric vein thrombosis after adjuvant chemotherapy for colorectal cancer patient: A case report.Experimental and therapeutic medicine · 2024Article
- Superior mesenteric vein thrombosis secondary to acute appendicitis in a young male: A Case Report.Radiology case reports · 2024Article
- Superior Mesenteric Vein Stenting to Manage Persistent Chylothorax.Cardiovascular and interventional radiology · 2024Article
- Recanalization of port-superior mesenteric vein thrombosis with long-term anticoagulant therapy after failed early anticoagulant therapy.Surgical case reports · 2024Article
- Idiopathic superior mesenteric venous thrombosis requiring bowel resection: a report of four cases.Surgical case reports · 2024Article
- Correlation between white blood cell count and intestinal resection in patients with acute mesenteric vein thrombosis.BMC gastroenterology · 2024Article
- Ischemic colitis presenting as a colonic mass: a case report and diagnostic challenges.Frontiers in medicine · 2024Article
- Acute mesenteric ischaemia.The British journal of surgery · 2023Article
- Hypercoagulability status, operative mortality, and long-term survival in patients operated on for mesenteric venous thrombosis.Journal of vascular surgery. Venous and lymphatic disorders · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsAcute mesenteric venous thrombosis accounts for up to 20% of all patients with acute mesenteric ischemia in high-income countries. Acute mesenteric venous thrombosis is nowadays relatively more often diagnosed with intravenous contrast-enhanced computed tomography in the portal phase than at explorative laparotomy No high-quality comparative studies between anticoagulation alone, endovascular therapy, or surgery exists. The aim of the present systematic review was to offer a contemporary overview on management. MATERIALS AND
methodsEleven relevant published original studies with series of at least ten patients were retrieved from a Pub Med search between 2015 and 2020 using the Medical Subject Heading term "mesenteric venous thrombosis."
resultsWhen MVT is diagnosed early, immediate anticoagulation with either unfractionated heparin or subcutaneous low-molecular-weight heparin should commence. Surgeons need to be aware of the importance to scrutinize the computed tomography images themselves for assessment of secondary intestinal abnormalities to mesenteric venous thrombosis and the risk of bowel resection and worse prognosis. Progression toward peritonitis is an indication for explorative laparotomy and assessment of bowel viability. Frank transmural small bowel necrosis should be resected and bowel anastomosis may be delayed for several days until second look. Meanwhile, intravenous full-dose unfractionated heparin should be given at the end of the first operation. Postoperative major intra-abdominal or gastrointestinal bleeding occurs rarely, but the heparin effect can instantaneously be reversed by
conclusionEarly diagnosis with emergency computed tomography with intravenous contrast-enhancement and imaging in the portal phase and anticoagulation therapy is necessary to be able to have a succesful non-operative succesful course.
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