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(Intestinal ischemia acute)
2,606 results
  • Acute mesenteric ischaemia: a pictorial review. [Review]
  • IIInsights Imaging 2018 Aug 17
  • Florim S, Almeida A, … Portugal P
  • Acute mesenteric ischaemia (AMI) is an uncommon cause of acute hospital admission with high mortality rates (50-90%) that requires early diagnosis and treatment. With the increase in average life exp...
  • Catheter-related infections in patients with acute type II intestinal failure admitted to a national centre: Incidence and outcomes. [Journal Article]
  • CNClin Nutr 2018 Jul 27
  • Bond A, Teubner A, … Lal S
  • CONCLUSIONS: This is the first study to report catheter-related BSI/colonisation rates and salvage outcomes in patients with type 2 IF newly admitted to a dedicated IF Unit. We report that nearly one-fifth of all patients were referred with evidence of a catheter related BSI/colonisation; despite this, successful catheter salvage is possible and, with stringent CVC care, an extremely low subsequent catheter related BSI rates can be achieved and maintained during in-patient stay on a dedicated IF Unit and after discharge on HPN. These data provide novel evidence to support ESPEN recommendations that patients with type 2 IF are managed on a dedicated IF Unit.
  • An adult presentation of midgut volvulus secondary to intestinal malrotation: A case report and literature review. [Journal Article]
  • IJInt J Surg Case Rep 2018 Jul 11; 50:46-49
  • Butterworth WA, Butterworth JW
  • CONCLUSIONS: Of the 92 cases, average patient age was 40 years old and a 1.7:1 male:female ratio. Diagnosis of midgut volvulus was predominantly made via CT (67%) but also by ultrasound (15%) and theatre (18%). Midgut volvulus is associated with a high risk of ischaemia and necrosis of bowel supplied by the SMA (35). 19% of cases reported required a bowel resection. The case discussed in this report required a 130 cm bowel resection which is similar to the mean bowel resection length in the literature of 121 cm. Mean associated mortality rate is 5%.This case reinforces the importance of maintaining a high index of suspicion and closely monitoring patients presenting with non-specific abdominal pain, to allow early recognition and management of rare causes of the deteriorating surgical patient.
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