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Khripun A.I.

Kafedra khirurgii i éndoskopii FUV Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova

Shurygin S.N.

Gorodskaia klinicheskaia bol'nitsa #12, Moskva, Rossiia

Mironkov A.B.

GUZ "Gorodskaia klinicheskaia bol'nitsa #12" DZ Moskvy

Priamikov A.D.

Kafedra khirurgii i éndoskopii FUV Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #12, Moskva, Rossiia

Venous acute disturbance of mesenteric circulation: diagnosis and treatment

Authors:

Khripun A.I., Shurygin S.N., Mironkov A.B., Priamikov A.D.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2017;(12): 95‑102

Read: 15791 times


To cite this article:

Khripun AI, Shurygin SN, Mironkov AB, Priamikov AD. Venous acute disturbance of mesenteric circulation: diagnosis and treatment. Pirogov Russian Journal of Surgery. 2017;(12):95‑102. (In Russ.)
https://doi.org/10.17116/hirurgia20171295-102

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References:

  1. Marston A. Vascular bowel disease. The pathophysiology, diagnosis and treatment. M.: Medicine; 1989. (In Russ.)
  2. Savelyev VS, Spiridonov IV. Acute disorders of mesenteric ischemia. M.: Medicine; 1979. (In Russ.)
  3. Abdel-Razik A, Mousa N, Elhelaly R, et al. De-novo portal vein thrombosis in liver cirrhosis: risk factors and correlation with the Model for End-stage Liver Disease scoring system. Eur J Gastroenterol Hepatol. 2015;27:5:585-592. https://doi.org/10.1097/MEG.0000000000000325
  4. Acosta S, Alhadad A, Svensson P, et al. Epidemiology, risk and prognostic factors in mesenteric venous thrombosis. Br J Surg. 2008;95:1245-1251. https://doi.org/10.1002/bjs.6319
  5. Ageno W, Riva N, Schulman S, et al. Long-term clinical outcomes of splanchnic vein thrombosis: results of an international registry. JAMA Intern Med. 2015;175:9:1474-1480. https://doi.org/10.1001/jamainternmed.2015.3184
  6. Amitrano L, Guardascione MA, Brancaccio V, et al. Risk factors and clinical presentation of portal vein thrombosis in patients with liver cirrhosis. Journal of Hepatology. 2004;40:5:736-741. https://doi.org/10.1016/j.jhep.2004.01.001
  7. Amitrano L, Guardascione MA, Menchise A, et al. Safety and efficacy of anticoagulation therapy with low molecular weight heparin for portal vein thrombosis in patients with liver cirrhosis. J Clin Gastroenterol. 2010;44:6:448-451. https://doi.org/10.1097/MCG.0b013e3181b3ab44
  8. Antoch G, Taleb N, Hansen O, et al. Transarterial thrombolysis of portal and mesenteric vein thrombosis: a promising alternative to common therapy. Eur J Vasc Endovasc Surg. 2001;21:5:471-472. https://doi.org/10.1053/ejvs.2001.1355
  9. Bakti N, Hussain A, El-Hasani S. A rare complication of acute appendicitis: Superior mesenteric vein thrombosis. Int J Surg Case Rep. 2011;2:8:250-252. https://doi.org/10.1016/j.ijscr.2011.08.003
  10. Berzigotti A, García-Criado A, Darnell A, et al. Imaging in clinical decision-making for portal vein thrombosis. Nat Rev Gastroenterol Hepatol. 2014;11:5:308-316. https://doi.org/10.1038/nrgastro.2013.258
  11. Boley SJ, Kaleya RN, Brandt LJ. Mesenteric venous thrombosis. Surg Clin North Am. 1992;72:183-201.
  12. Brunaud L, Antunes L, Collinet-Adler S, et al. Acute mesenteric venous thrombosis: case for nonoperative management. J Vasc Surg. 2001;34:673-679. https://doi.org/10.1067/mva.2001.117331
  13. Capron JP, Lemay JL, Muir JF. Portal vein thrombosis and fatal pulmonary thromboembolism associated with oral contraceptive treatment. Journal of Clinical Gastroenterology. 1981;3:3:295-298.
  14. Cenedese A, Monneuse O, Gruner L, et al. Initial management of extensive mesenteric venous thrombosis: retrospective study of nine cases. World J Surg. 2009;33:2203-2208. https://doi.org/10.1007/s00268-009-0168-2
  15. Chang DT, Cover J, Nabi H, et al. The role of heparin in a warfarinized patient with mesenteric venous thrombosis. Int J Colorectal Dis. 2016;31:4:923-924. https://doi.org/10.1007/s00384-015-2311-x
  16. Chawla Y, Duseja A, Dhiman RK. Review article: the modern management of portal vein thrombosis. Aliment Pharmacol Ther. 2009;30:9:881-894. https://doi.org/10.1111/j.1365-2036.2009.04116.x
  17. Chok KS, Cheung TT, Chan SC, et al. Surgical outcomes in hepatocellular carcinoma patients with portal vein tumor thrombosis. World J Surg. 2014;38:2:490-496. https://doi.org/10.1007/s00268-013-2290-4
  18. Claudon M, Dietrich CF, Choi BI, et al. Guidelines and good clinical practice recommendations for Contrast Enhanced Ultrasound (CEUS) in the liver — update 2012: A WFUMB-EFSUMB initiative in cooperation with representatives of AFSUMB, AIUM, ASUM, FLAUS and ICUS. Ultrasound Med Biol. 2013;39:2:187-210. https://doi.org/10.1016/j.ultrasmedbio.2012.09.002
  19. Delgado MG, Seijo S, Yepes I, et al. Efficacy and safety of anticoagulation on patients with cirrhosis and portal vein thrombosis. Clin Gastroenterol Hepatol. 2012;10:7:776-783. https://doi.org/10.1016/j.cgh.2012.01.012
  20. Derman BA, Kwaan HC. Risk factors, diagnosis, management, and outcome of splanchnic vein thrombosis: a retrospective analysis. Semin Thromb Hemost. 2015;41:5:503-513. https://doi.org/10.1055/s-0035-1550429
  21. Dhiman P, Saxena P. JAK2V617F: Is it sufficient as a single player in splanchnic venous thrombosis? Case Rep Hematol. 2015;373490. https://doi.org/10.1155/2015/373490
  22. El Lakis MA, Pozzi A, Chamieh J, et al. Portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass: a 36-case series. Surg Endosc. 2016. https://doi.org/10.1007/s00464-016-5078-4
  23. Elliot JW. The operative relief of gangrene of intestine due to occlusion of the mesenteric vessels. Ann Surg. 1895;21:9-23.
  24. Ferro C, Rossi UG, Bovio G, et al. Transjugular intrahepatic portosystemic shunt, mechanical aspiration thrombectomy, and direct thrombolysis in the treatment of acute portal and superior mesenteric vein thrombosis. Cardiovasc Intervent Radiol. 2007;30:5:1070-1074. https://doi.org/10.1007/s00270-007-9137-z
  25. Gandhi K, Singh P, Sharma M, et al. Mesenteric vein thrombosis after laparoscopic gastric sleeve procedure. J Thromb Thrombolysis. 2010;30:179-183. https://doi.org/10.1007/s11239-009-0434-z
  26. García-Botella A, Asenjo S, De la Morena-Barrio ME. First case with antithrombin deficiency, mesenteric vein thrombosis and pregnancy: Multidisciplinary diagnosis and successful management. Thromb Res. 2016;144:72-75. https://doi.org/10.1016/j.thromres.2016.05.011
  27. Goitein D, Matter I, Raziel A, et al. Portomesenteric thrombosis following laparoscopic bariatric surgery: incidence, patterns of clinical presentation, and etiology in a bariatric patient population. JAMA Surg. 2013;148:340-346. https://doi.org/10.1001/jamasurg.2013.1053
  28. Gul W, Abbass K, Qazi AM, et al. Thrombosis of portal venous system after laparoscopic cholecystectomy in a patient with prothrombin gene mutation. Journal of the Society of Laparoendoscopic Surgeons. 2012;16:1:166-168. https://doi.org/10.1001/jamasurg.2013.1053
  29. Hansen HJB, Christoffersen JK. Occlusive mesenteric infarction: a retrospective study of 83 cases. Acta Chir Scand Suppl. 1976;472:103-108.
  30. Harnik IG, Brandt LJ. Mesenteric venous thrombosis. Vasc Med. 2010;15:407-418. https://doi.org/10.1177/1358863X10379673
  31. Henao EA, Bohannon WT, Silva MB. Treatment of portal venous thrombosis with selective superior mesenteric artery infusion of recombinant tissue plasminogen activator. J Vasc Surg. 2003;38:1411-1415. https://doi.org/10.1016/S0741
  32. Hmoud B, Singal AK, Kamath PS. Mesenteric venous thrombosis. J Clin Exp Hepatol. 2014;4:3:257-263. https://doi.org/10.1016/j.jceh.2014.03.052
  33. Ikeda M, Sekimoto M, Takiguchi S, et al. High incidence of thrombosis of the portal venous system after laparoscopic splenectomy: a prospective study with contrast-enhanced CT scan. Annals of Surgery. 2005;241:2:208-216.
  34. James AW, Rabl C, Westphalen AC, et al. Portomesenteric venous thrombosis after laparoscopic surgery: a systematic literature review. Arch Surg. 2009;144:6:520-526. https://doi.org/10.1001/archsurg.2009.81
  35. Joh JH, Kim DI. Mesenteric and portal vein thrombosis: treated with early initiation of anticoagulation. Eur J Vasc Endovasc Surg. 2005;29:2:204-208. https://doi.org/10.1016/j.ejvs.2004.10.005
  36. Kaleya RN, Boley SJ. Mesenteric venous thrombosis. In: Najarian J.S., Delaney J.P. (eds). Progress in gastrointestinal surgery. Chicago: Year Book Medical Publishers; 1989.
  37. Kazmers A. Intestinal ischemia caused by venous thrombosis. In: Rutherford R. (ed). Vascular surgery. 4th edition. Philadelphia: W.B. Saunders; 1995.
  38. Klempnauer J, Grothues F, Bektas H, et al. Results of portal thrombectomy and splanchnic thrombolysis for the surgical management of acute mesentericoportal thrombosis. Br J Surg. 1997;84:129-132.
  39. Kömür İ, Özdemirel RÖ, Başpınar B, et al. Widespread mesenteric venous thrombosis and cirrhosis diagnosed with autopsy. Ulus Travma Acil Cerrahi Derg. 2015;21:5:414-417. https://doi.org/10.5505/tjtes.2015.47037
  40. Korovin LN, Raoof M, Kettelle JB, et al. Concurrent factor V Leiden and protein C deficiency presenting as mesenteric venous thrombosis. Am Surg. 2016;82:4:96-98.
  41. Koyama N. Superior mesenteric vein thrombosis associated with hormonal contraceptive use. Case Rep Gastroenterol. 2016;10:2:264-268. https://doi.org/10.1159/000446838
  42. Kumar S, Kamath PS. Acute superior mesenteric venous thrombosis: one disease or two? Am J Gastroenterol. 2003;98:1299-1304. https://doi.org/10.1111/j.1572-0241.2003.07338.x
  43. Lakhoo J, Gaba RC. Outcomes of transjugular intrahepatic portosystemic shunt creation for flow-enabled dissolution of spleno-mesenterico-portal venous thrombosis. Diagn Interv Imaging. 2016. pii: S2211-5684(16)30159-0. https://doi.org/10.1016/j.diii.2016.07.005
  44. Lang SA, Loss M, Wohlgemuth WA. Clinical management of acute portal/mesenteric vein thrombosis. Viszeralmedizin. 2014;30:6:394-400. https://doi.org/10.1159/000369896
  45. Levi Sandri GB, Lai Q, Berloco PB, et al. Portal vein thrombosis before liver transplant does not alter postoperative patient or graft survival. Exp Clin Transplant. 2014;12:3:238-240.
  46. Liu K, Meng J, Yang S, et al. Transcatheter thrombolysis combined with damage control surgery for treatment of acute mesenteric venous thrombosis associated with bowel necrosis: a retrospective study. World J Emerg Surg. 2015;10:50. https://doi.org/10.1186/s13017-015-0045-2
  47. Loss M, Lang SA, Uller W, et al. Combined surgical and interventional therapy of acute portal vein thrombosis without cirrhosis: a new effective hybrid approach for recanalization of the portal venous system. J Am Coll Surg. 2014;218:3:79-86. https://doi.org/10.1016/j.jamcollsurg.2013.11.010
  48. Morasch MD, Ebaugh JL, Chiou AC, et al. Mesenteric venous thrombosis: a changing clinical entity. J Vasc Surg. 2001;34:4:680-684.
  49. Muneer M, Abdelrahman H, El-Menyar A, et al. Portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy: 3 case reports and a literature review. Am J Case Rep. 2016;17:241-247.
  50. Naitove A, Weisman RE. Primary mesenteric venous thrombosis. Ann Surg. 1965;161:516-523.
  51. Nakajima Y, Takahashi A, Kanno Y, et al. Paralytic ileus due to superior mesenteric venous thrombosis after transarterial injection for hepatocellular carcinoma. Intern Med. 2016;55:1:37-42. https://doi.org/10.2169/internalmedicine.55.5907
  52. Novellas S, Denys A, Bize P, et al. Palliative portal vein stent placement in malignant and symptomatic extrinsic portal vein stenosis or occlusion. Cardiovasc Intervent Radiol. 2009;32:3:462-470. https://doi.org/10.1007/s00270-008-9455-9
  53. Occhionorelli S, La Manna A, Stano R, et al. The surgical approach to near-total small bowel infarction in a patient with massive portomesenteric thrombosis. Case report. Ann Ital Chir. 2016;87. pii: S2239253X16025020.
  54. Ottinger LW, Austen WG. A study of 136 patients with mesenteric infarction. Surg Gynecol Obstet. 1967;124:251-261.
  55. Pécora RA, Canedo BF, Andraus W, et al. Portal vein thrombosis in liver transplantation. Arq Bras Cir Dig. 2012;25:4:273-278.
  56. Pieri G, Theocharidou E, Burroughs AK. Liver in haematological disorders. Best Pract Res Clin Gastroenterol. 2013;27:513-530. https://doi.org/10.1016/j.bpg.2013.06.012
  57. Pinto S, Lerner T, Lingamaneni G. Superior mesenteric vein thrombosis as a complication of cecal diverticulitis: A case report. Int J Surg Case Rep. 2016;25:71-74. https://doi.org/10.1016/j.ijscr.2016.06.002
  58. Plessier A, Rautou PE, Valla DC. Management of hepatic vascular diseases. J Hepatol. 2012;56(suppl 1):25-38. https://doi.org/10.1016/S0168-8278(12)60004-X
  59. Poddar N, Avezbakiyev B, He Z, et al. Hepatocellular carcinoma presenting as an incidental isolated malignant portal vein thrombosis. J Gastrointest Cancer. 2012;43:3:486-489. https://doi.org/10.1007/s12029-010-9235-z
  60. Ponziani FR, Zocco MA, Garcovich M, et al. What we should know about portal vein thrombosis in cirrhotic patients: a changing perspective. World J Gastroenterol. 2012;18:5014-5020. https://doi.org/10.3748/wjg.v18.i36.5014
  61. Reiber BM, Gorter RR, Tenhagen M, et al. Mesenteric venous thrombosis during pregnancy; a rare cause of acute ischaemia of the small intestine. Ned Tijdschr Geneeskd. 2016;160(0):9898.
  62. Reilly C, Zenoni S, Hasan MK, et al. Primary pancreatic Ewing’s sarcoma with portal vein tumor thrombosis. J Gastrointest Surg. 2013;17:5:1015-1019. https://doi.org/10.1007/s11605-012-2098-9
  63. Robbins MR, Comerota AJ, Pigott JP. Mesenteric venous thrombosis. Vasc Med. 2005;10:121-122.
  64. Rottenstreich A, Elazary R, Kalish Y. Abdominal thrombotic complications following bariatric surgery. Surg Obes Relat Dis. 2016. pii: S1550-7289(16)30098-3. https://doi.org/10.1016/j.soard.2016.05.012
  65. Russell CE, Wadhera RK, Piazza G. Mesenteric venous thrombosis. Circulation. 2015;131:18:1599-603. https://doi.org/10.1161/CIRCULATIONAHA.114.012871
  66. Saito M, Seo Y, Yano Y, et al. Portal venous tumor growth-type of hepatocellular carcinoma without liver parenchyma tumor nodules: a case report. Ann Hepatol. 2013;12:6:969-973.
  67. Salinas J, Barros D, Salgado N, et al. Portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy. Surg Endosc. 2014;28:4:1083-1089. https://doi.org/10.1007/s00464-013-3055-8
  68. Sauerland S, Agresta F, Bergamaschi R, et al. Laparoscopy for abdominal emergencies: evidence-based guidelines of the European Association for Endoscopic Surgery. Surg Endosc. 2006;20:14-29. https://doi.org/10.1007/s00464-005-0564-0
  69. Senzolo M, Sartori MT, Rossetto V, et al. Prospective evaluation of anticoagulation and transjugular intrahepatic portosystemic shunt for the management of portal vein thrombosis in cirrhosis. Liver Int. 2012;32:6:919-927. https://doi.org/10.1111/j.1478-3231.2012.02785.x
  70. Singal AK, Kamath PS, Tefferi A. Mesenteric venous thrombosis. Mayo Clin Proc. 2013;88:3:285-294. https://doi.org/10.1016/j.mayocp.2013.01.012
  71. Sivasambu B, Yogarajah M, Wilson T. Acute portomesenteric venous thrombosis following laparoscopic small bowel resection and ventral hernia repair. Case Rep Gastrointest Med. 2015;851852. https://doi.org/10.1155/2015/851852
  72. Søgaard KK, Farkas DK, Pedersen L. Splanchnic venous thrombosis is a marker of cancer and a prognostic factor for cancer survival. Blood. 2015;126:8:957-963. https://doi.org/10.1182/blood-2015-03-631119
  73. Søgaard KK, Darvalics B, Horváth-Puhó E, et al. Survival after splanchnic vein thrombosis: A 20-year nationwide cohort study. Thromb Res. 2016;141:1-7. https://doi.org/10.1016/j.thromres.2016.02.024
  74. Trebicka J, Strassburg CP. Etiology and complications of portal vein thrombosis. Viszeralmedizin. 2014;30:6:375-380. https://doi.org/10.1159/000369987
  75. Uflacker R. Applications of percutaneous mechanical thrombectomy in transjugular intrahepatic portosystemic shunt and portal vein thrombosis. Tech Vasc Interv Radiol. 2003;6:1:59-69. https://doi.org/10.1053/tvir.2003.36433
  76. Vakil A, Guru P, Reddy DR, et al. Diffuse cholangiocarcinoma presenting with hepatic failure and extensive portal and mesenteric vein thrombosis. BMJ Case Rep. 2015. pii: bcr2014209171. https://doi.org/10.1136/bcr-2014-209171
  77. Wang MQ, Guo LP, Lin HY, et al. Transradial approach for transcatheter selective superior mesenteric artery urokinase infusion therapy in patients with acute extensive portal and superior mesenteric vein thrombosis. Cardiovasc Intervent Radiol. 2010;33:1:80-89. https://doi.org/10.1007/s00270-009-9777-2
  78. Wang MQ, Liu FY, Duan F, et al. Acute symptomatic mesenteric venous thrombosis: treatment by catheter-directed thrombolysis with transjugular intrahepatic route. Abdom Imaging. 2011;36:4:390-398. https://doi.org/10.1007/s00261-010-9637-1
  79. Wani ZA, Bhat RA, Bhadoria AS, et al. Extrahepatic portal vein obstruction and portal vein thrombosis in special situations: Need for a new classification. Saudi J Gastroenterol. 2015;21:3:129-138. https://doi.org/10.4103/1319-3767.157550
  80. Warren S, Eberhardt TP. Mesenteric venous thrombosis. Surg Obstet Gynecol. 1935;61:102-120.
  81. Watanabe M, Unuma K, Makino Y, et al. An autopsy case of acute massive hematochezia caused by superior mesenteric vein thrombosis: a first report in forensic medicine. J Forensic Sci. 2016;61:1:271-273. https://doi.org/10.1111/1556-4029
  82. Wijaya R, Ng JH, See AH, et al. Open thrombectomy for primary acute mesentericoportal venous thrombosis-should it be done? Ann Vasc Surg. 2015;29:7:1454:21-25. https://doi.org/10.1016/j.avsg.2015.05.003
  83. Yanar F, Agcaoglu O, Sarici IS, et al. Local thrombolytic therapy in acute mesenteric ischemia. World J Emerg Surg. 2013;8:8. https://doi.org/10.1186/1749-7922-8-8.
  84. Yang SF, Liu BC, Ding WW, et al. Initial transcatheter thrombolysis for acute superior mesenteric venous thrombosis. World J Gastroenterol. 2014;20:18:5483-5492. https://doi.org/10.3748/wjg.v20.i18.5483
  85. Yang S, Liu B, Ding W, et al. Acute superior mesenteric venous thrombosis: transcatheter thrombolysis and aspiration thrombectomy therapy by combined route of superior mesenteric vein and artery in eight patients. Cardiovasc Intervent Radiol. 2015;38:1:88-99. https://doi.org/10.1007/s00270-014-0896-z
  86. Yang S, Zhang L, Liu K, et al. Postoperative catheter-directed thrombolysis versus systemic anticoagulation for acute superior mesenteric venous thrombosis. Ann Vasc Surg. 2016. pii: S0890-5096(16)30403-4. https://doi.org/10.1016/j.avsg.2016.02.019
  87. Yousaf A, Ahmed M, Aurangzeb M. Acute appendicitis complicating into prtal and superior mesenteric vein thrombosis. J Coll Physicians Surg Pak. 2016;26:6:10-12. https://doi.org/177

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