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Related Experiment Videos

Mesenteric arteritis.

J G Mosley1, A Desai, I Gupta

  • 1Department of Surgery, Leigh Infirmary.

Gut
|August 1, 1990
PubMed
Summary
This summary is machine-generated.

Small bowel infarction from vascular arteritis, often linked to rheumatoid arthritis, requires surgical resection and anastomosis. Early intervention improves prognosis for this rare gastrointestinal condition.

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Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Rheumatology

Background:

  • Small bowel infarction is a rare but serious condition.
  • Vascular arteritis can lead to intestinal ischemia.
  • Rheumatoid arthritis is a potential underlying cause of arteritis.

Purpose of the Study:

  • To present cases of small bowel infarction due to vascular arteritis.
  • To evaluate the outcomes of surgical management for this condition.

Main Methods:

  • Case series of four patients with small bowel infarction.
  • Surgical resection of infarcted bowel.
  • Primary anastomosis performed in all cases.

Main Results:

  • Three patients had a history of rheumatoid arthritis.

Related Experiment Videos

  • One patient experienced anastomosis breakdown and subsequent mortality.
  • Another patient died from unrelated rectal cancer years later.
  • The remaining patients recovered well.

    • Conclusions:

    • Early surgical intervention for intestinal infarction secondary to arteritis is associated with a favorable prognosis.
    • Vascular arteritis, particularly in patients with rheumatoid arthritis, should be considered in the differential diagnosis of small bowel infarction.