| Primary mesenteric venous thrombosis: a study from western India. | |
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MedLine Citation:
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PMID: 17704576 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Deepak N Amarapurkar; Nikhil D Patel; Jignesh Jatania |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2007-08-20 Completed Date: 2007-10-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8409436 Medline TA: Indian J Gastroenterol Country: India |
Other Details:
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Languages: eng Pagination: 113-7 Citation Subset: IM |
Affiliation:
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Gastroenterology Department, Bombay Hospital and Medical Research Center, Mumbai, India. amarapurkar@gmail.com |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Female Humans India / epidemiology Male Mesenteric Vascular Occlusion* / epidemiology Mesenteric Veins* Middle Aged Prevalence Retrospective Studies Venous Thrombosis* / epidemiology |
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