Fatal non-occlusive mesenteric ischemia after esophagectomy

Non-occlusive mesenteric ischemia (NOMI) is a disorder with an extremely high mortality. Salvage of affected patients requires early recognition and aggressive intervention to prevent intestinal gangrene. We present a case of NOMI developing after esophagectomy and discuss the pathophysiology diagno...

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Veröffentlicht in:	Journal of cancer research and therapeutics 2010-01, Vol.6 (1), p.112-113
Hauptverfasser:	Qureshi, Sajid S, Neve, Rakesh S, Raina, Sudip A, Mistry, Rajesh C
Format:	Artikel
Sprache:	eng
Schlagworte:	Angiotensin-Converting Enzyme Inhibitors - therapeutic use Atherosclerosis Carcinoma, Squamous Cell - surgery Cardiac arrhythmia Care and treatment Case studies Diagnosis Esophageal Neoplasms - surgery Esophagectomy - adverse effects Esophagectomy, non occlusive mesenteric ischemia, enteral feeding Esophagus Fatal Outcome Free radicals Gangrene Health aspects Heart attacks Humans Ischemia Ischemia - etiology Ischemia - pathology Ischemia - physiopathology Male Mesenteric Arteries - pathology Mesenteric Arteries - physiopathology Mesenteric Vascular Occlusion - etiology Mesenteric Vascular Occlusion - pathology Mesenteric Vascular Occlusion - physiopathology Mesenteric Veins - pathology Mesenteric Veins - physiopathology Middle Aged Mortality Myocardial Infarction - complications Myocardial Infarction - drug therapy Nitrates - therapeutic use Postoperative Complications - pathology Postoperative Complications - physiopathology Risk factors Surgery Vasodilator Agents - therapeutic use
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Zusammenfassung:	Non-occlusive mesenteric ischemia (NOMI) is a disorder with an extremely high mortality. Salvage of affected patients requires early recognition and aggressive intervention to prevent intestinal gangrene. We present a case of NOMI developing after esophagectomy and discuss the pathophysiology diagnosis and therapy.
ISSN:	0973-1482 1998-4138
DOI:	10.4103/0973-1482.63546