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Am J Surg. 2011 Dec;202(6):759-63; discussion 763-4. doi: 10.1016/j.amjsurg.2011.06.039. Epub 2011 Oct 19.

Portomesenteric venous thrombosis: a community hospital experience with 103 consecutive patients.

Author information

1
Department of Medical Education, Gundersen Lutheran Medical Foundation, La Crosse, WI, USA.

Abstract

BACKGROUND:

Portomesenteric venous thrombosis (PMVT) is uncommon but associated with ischemic bowel and mortality.

OBJECTIVE:

The purpose of this study was to determine the occurrence of PMVT in a community setting and evaluate current diagnosis, treatment, and outcomes.

METHODS:

Medical records of consecutive patients admitted to a community-based hospital diagnosed with PMVT were reviewed. Patients were divided into 2 groups: those diagnosed from 1997 to 2003 and those diagnosed from 2004 to 2009.

RESULTS:

One hundred three patients were included. The proportion of chronic PMVT diagnoses increased in the recent group (14% in contrast to 44%, P = .001). Treatment was more common in acute in contrast to chronic PMVTs (70% in contrast to 48%, P = .035). The median length of stay decreased over time (6 in contrast to 3 days, P = .004). Three patients underwent surgical intervention. Overall, 30-day mortality was 17% and did not change over time.

CONCLUSIONS:

Diagnosis and treatment have changed with increased differentiation between acute and chronic PMVT; outcomes were similar. Surgical intervention was rarely necessary. Mortality is attributed to patient comorbidity rather than PMVT.

PMID:
22014649
DOI:
10.1016/j.amjsurg.2011.06.039
[Indexed for MEDLINE]

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