Trombosis venosa mesentérica: manifestaciones clínicas, terapia y evolución

Background: Mesenteric vein thrombosis (MVT) is uncommon and accounts for 5-10% of all mesenteric ischemic events. In 80% of cases, an etiologic factor is found. The clinical presentation varies and the diagnosis is made based on imaging studies. The treatment involves anticoagulation alone or in co...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Lui G,Andrea, Poniachik T,Jaime, Quera P,Rodrigo, Bermúdez E,Cristián
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2005
Materias:	Anticoagulant therapy Mesenteric vascular occlusion Venous thrombosis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000100003
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872005000100003
record_format	dspace
spelling	oai:scielo:S0034-988720050001000032014-08-12Trombosis venosa mesentérica: manifestaciones clínicas, terapia y evoluciónLui G,AndreaPoniachik T,JaimeQuera P,RodrigoBermúdez E,Cristián Anticoagulant therapy Mesenteric vascular occlusion Venous thrombosis Background: Mesenteric vein thrombosis (MVT) is uncommon and accounts for 5-10% of all mesenteric ischemic events. In 80% of cases, an etiologic factor is found. The clinical presentation varies and the diagnosis is made based on imaging studies. The treatment involves anticoagulation alone or in combination with surgery. Aim: To describe the clinical characteristics of patients with MVT. Patients and methods: Retrospective and prospective review of all cases with MVT, treated between 1995-2001. The clinical presentation, imaging studies, treatment and outcome were evaluated. Results: 29 cases of MVT were reviewed (14 females, age 56 ± 15 years). Twenty two patients (76%) had recognizable risk factors. The main symptoms were abdomianl pain (86%) and vomiting (55%). The diagnosis of acute mesenteric ischemia was suspected on admission only in 6 patients (21%). Thirteen patients underwent transabdominal color Doppler ultrasonography and the diagnosis was confirmed for 11 of these (85%). Twenty out of 24 patients (85%) studied with computed tomography, had positive signs of MVT. Twenty one patients (72%) recieved anticoagulation, 10 of whom also underwent surgery. Four patients (14%) received surgical treatment alone. Four patients were not treated. Seven patients (24%) died. Conclusions: MVT is difficult to identify. It is necessary to have a high degree of suspicion in patients who have risk factors. The diagnosis is made with imaging studies. The treatment consists of early anticoagulation and surgical intervention when indicated (Rev Méd Chile 2005; 133: 17-22)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.133 n.1 20052005-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000100003es10.4067/S0034-98872005000100003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Anticoagulant therapy Mesenteric vascular occlusion Venous thrombosis
spellingShingle	Anticoagulant therapy Mesenteric vascular occlusion Venous thrombosis Lui G,Andrea Poniachik T,Jaime Quera P,Rodrigo Bermúdez E,Cristián Trombosis venosa mesentérica: manifestaciones clínicas, terapia y evolución
description	Background: Mesenteric vein thrombosis (MVT) is uncommon and accounts for 5-10% of all mesenteric ischemic events. In 80% of cases, an etiologic factor is found. The clinical presentation varies and the diagnosis is made based on imaging studies. The treatment involves anticoagulation alone or in combination with surgery. Aim: To describe the clinical characteristics of patients with MVT. Patients and methods: Retrospective and prospective review of all cases with MVT, treated between 1995-2001. The clinical presentation, imaging studies, treatment and outcome were evaluated. Results: 29 cases of MVT were reviewed (14 females, age 56 ± 15 years). Twenty two patients (76%) had recognizable risk factors. The main symptoms were abdomianl pain (86%) and vomiting (55%). The diagnosis of acute mesenteric ischemia was suspected on admission only in 6 patients (21%). Thirteen patients underwent transabdominal color Doppler ultrasonography and the diagnosis was confirmed for 11 of these (85%). Twenty out of 24 patients (85%) studied with computed tomography, had positive signs of MVT. Twenty one patients (72%) recieved anticoagulation, 10 of whom also underwent surgery. Four patients (14%) received surgical treatment alone. Four patients were not treated. Seven patients (24%) died. Conclusions: MVT is difficult to identify. It is necessary to have a high degree of suspicion in patients who have risk factors. The diagnosis is made with imaging studies. The treatment consists of early anticoagulation and surgical intervention when indicated (Rev Méd Chile 2005; 133: 17-22)
author	Lui G,Andrea Poniachik T,Jaime Quera P,Rodrigo Bermúdez E,Cristián
author_facet	Lui G,Andrea Poniachik T,Jaime Quera P,Rodrigo Bermúdez E,Cristián
author_sort	Lui G,Andrea
title	Trombosis venosa mesentérica: manifestaciones clínicas, terapia y evolución
title_short	Trombosis venosa mesentérica: manifestaciones clínicas, terapia y evolución
title_full	Trombosis venosa mesentérica: manifestaciones clínicas, terapia y evolución
title_fullStr	Trombosis venosa mesentérica: manifestaciones clínicas, terapia y evolución
title_full_unstemmed	Trombosis venosa mesentérica: manifestaciones clínicas, terapia y evolución
title_sort	trombosis venosa mesentérica: manifestaciones clínicas, terapia y evolución
publisher	Sociedad Médica de Santiago
publishDate	2005
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000100003
work_keys_str_mv	AT luigandrea trombosisvenosamesentericamanifestacionesclinicasterapiayevolucion AT poniachiktjaime trombosisvenosamesentericamanifestacionesclinicasterapiayevolucion AT queraprodrigo trombosisvenosamesentericamanifestacionesclinicasterapiayevolucion AT bermudezecristian trombosisvenosamesentericamanifestacionesclinicasterapiayevolucion
_version_	1718436184381718528

Trombosis venosa mesentérica: manifestaciones clínicas, terapia y evolución

Ejemplares similares