Document Detail

Primary mesenteric venous thrombosis: a study from western India.
MedLine Citation:
PMID:  17704576     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: The prevalence and clinical spectrum of mesenteric venous thrombosis (MVT) in India is largely unknown. METHODS: We retrospectively re-viewed the case records of patients with primary mesenteric venous thrombosis seen over a 10-year period and retrieved information on clinical picture, underlying hypercoagulable states and outcome. RESULTS: The 28 cases (mean age 41.2 [SD 10.2] years; 19 male) included 13 with acute MVT, 10 with subacute MVT and 5 with chronic MVT. Ten patients had past thromboembolic events (multiple events in five); four patients had isolated superior mesenteric vein involvement and 14 had multiple vessel involvement. Hypercoagulable state was identified in 17 patients, with multiple etiologies in 7 patients. Pre-operative diagnosis was made in all patients. Ten patients needed surgical management; the rest were managed medically initially, but 2 required surgery on follow up. Seven patients died during a follow up of up to 10 years, with in-hospital mortality during index admission in six. CONCLUSIONS: Most of the patients with MVT have multiple intra-abdominal vessel involvement and underlying hypercoagulable state. The policy of early treatment with anticoagulation in all and surgical treatment as per need, achieves low mortality.
Deepak N Amarapurkar; Nikhil D Patel; Jignesh Jatania
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology     Volume:  26     ISSN:  0254-8860     ISO Abbreviation:  Indian J Gastroenterol     Publication Date:    2007 May-Jun
Date Detail:
Created Date:  2007-08-20     Completed Date:  2007-10-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8409436     Medline TA:  Indian J Gastroenterol     Country:  India    
Other Details:
Languages:  eng     Pagination:  113-7     Citation Subset:  IM    
Gastroenterology Department, Bombay Hospital and Medical Research Center, Mumbai, India.
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MeSH Terms
Aged, 80 and over
India / epidemiology
Mesenteric Vascular Occlusion* / epidemiology
Mesenteric Veins*
Middle Aged
Retrospective Studies
Venous Thrombosis* / epidemiology

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