Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Mesenteric venous thrombosis: a changing clinical entity.

M D Morasch1, J L Ebaugh, A C Chiou

  • 1Division of Vascular Surgery, Department of Surgery, Northwestern University Medical School, Chicago, IL 60611, USA.

Journal of Vascular Surgery
|October 23, 2001
PubMed
Summary

Mesenteric venous thrombosis (MVT) is increasingly diagnosed with CT scans. Early diagnosis and anticoagulation improve survival rates for MVT patients, challenging its historical perception as a morbid condition.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Aortic Arch Morphology and Aortic Length in Patients with Dissection, Traumatic, and Aneurysmal Disease.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2015
Same author

The photobioluminometer, an instrument for the study of ecological factors affecting photosynthesis.

Microbial ecology·2013
Same author

Carotid artery reconstruction for infected carotid patches.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2010
Same author

Autologous peripheral blood CD133+ cell implantation for limb salvage in patients with critical limb ischemia.

Bone marrow transplantation·2009
Same author

Morphometric analysis of the popliteal artery for endovascular treatment.

Vascular and endovascular surgery·2003
Same author

Is bilateral ultrasound scanning of the legs necessary for patients with unilateral symptoms of deep vein thrombosis?

Journal of vascular surgery·2001

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Radiology

Background:

  • Mesenteric venous thrombosis (MVT) diagnosis has improved with advanced imaging.
  • Historically viewed as a severe condition, MVT's prognosis may be better with early intervention.
  • Identifying and treating underlying hypercoagulable states is crucial for MVT management.

Purpose of the Study:

  • To evaluate the diagnostic methods and management strategies for MVT.
  • To review the long-term treatment outcomes for patients with MVT.
  • To assess the current mortality rates of MVT in comparison to historical data.

Main Methods:

  • Retrospective review of 31 MVT patients diagnosed between 1985 and 1999.
  • Analysis of patient demographics, risk factors (hypercoagulability, surgery, prior thrombosis, cancer), and presenting symptoms.

Related Experiment Videos

  • Evaluation of diagnostic accuracy of Computed Tomography (CT) and angiography, and assessment of treatment outcomes including anticoagulation and surgery.

    • Main Results:

    • The 30-day mortality rate was 23% (7 of 31 patients).
    • Early anticoagulation with heparin was initiated in 72% of patients, with improved outcomes compared to those not heparinized.
    • CT scanning demonstrated high diagnostic accuracy (90-100%), while angiography was less sensitive (55.5%).
    • Long-term warfarin therapy was administered to 79% of survivors, with an 88% survival rate at a mean follow-up of 57.7 months.

    Conclusions:

    • MVT diagnosis should be considered in patients with acute abdominal symptoms and a history of thrombosis or coagulopathy.
    • CT scanning is the preferred diagnostic modality for MVT.
    • Early diagnosis and anticoagulation are recommended to prevent progression to gangrenous bowel and improve patient outcomes.