| Portomesenteric venous thrombosis: a community hospital experience with 103 consecutive patients. | |
| | |
MedLine Citation:
|
PMID: 22014649 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Portomesenteric venous thrombosis (PMVT) is uncommon but associated with ischemic bowel and mortality. OBJECTIVE: The purpose of this study was to determine the occurrence of PMVT in a community setting and evaluate current diagnosis, treatment, and outcomes. METHODS: Medical records of consecutive patients admitted to a community-based hospital diagnosed with PMVT were reviewed. Patients were divided into 2 groups: those diagnosed from 1997 to 2003 and those diagnosed from 2004 to 2009. RESULTS: One hundred three patients were included. The proportion of chronic PMVT diagnoses increased in the recent group (14% in contrast to 44%, P = .001). Treatment was more common in acute in contrast to chronic PMVTs (70% in contrast to 48%, P = .035). The median length of stay decreased over time (6 in contrast to 3 days, P = .004). Three patients underwent surgical intervention. Overall, 30-day mortality was 17% and did not change over time. CONCLUSIONS: Diagnosis and treatment have changed with increased differentiation between acute and chronic PMVT; outcomes were similar. Surgical intervention was rarely necessary. Mortality is attributed to patient comorbidity rather than PMVT. |
| | |
Authors:
|
Mark N Abraham; Michelle A Mathiason; Kara J Kallies; Thomas H Cogbill; Stephen B Shapiro |
Related Documents
:
|
21804369 - Risk factors of renal failure and severe complications in patients with emphysematous p... 21751339 - Intra-articular injection and driving advice: a survey of uk rheumatologists' current p... 8738619 - Usefulness of cernilton in the treatment of benign prostatic hyperplasia. 21778899 - Development and evaluation of a survey of gout patients concerning their knowledge abou... 23636349 - Chronic adverse events and quality of life after radiochemotherapy in anal cancer patie... 21780179 - Impact of apathy on health-related quality of life in recently diagnosed parkinson's di... 22795419 - New oral anticoagulants in the ed setting: a review. 7801059 - Side effects of sulphasalazine in patients with rheumatic diseases or inflammatory bowe... 1416709 - Intestinal ischaemia in the unconscious intensive care unit patient. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-10-17 |
Journal Detail:
|
Title: American journal of surgery Volume: - ISSN: 1879-1883 ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
|
Created Date: 2011-10-21 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of Medical Education, Gundersen Lutheran Medical Foundation, La Crosse, WI, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Availability of acute care surgeons improves outcomes in patients requiring emergent colon surgery.
Next Document: A new chapter in the transcription SAGA.