Mesenteric Torsion

Liz LaFond, Kristina M Kiefer

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Mesenteric torsion is a pathological rotation of the intestinal tract around the axis of the mesenteric root, resulting in rapid occlusion of the cranial mesenteric artery. In most patients, physical examination reveals some degree of hypovolemic, septic, or toxic shock, depending on the duration of clinical signs. Initial therapy is aimed at stabilizing the patient in hypovolemic shock with emphasis placed on preparing the patient for correction of the intestinal and vascular anatomic abnormalities as promptly as possible. Analgesics are an important component of postoperative care. Enteral or parenteral nutrition should be considered. Along with the complications commonly associated with gastrointestinal surgery (peritonitis, dehiscence, and infection), patients with intestinal volvulus are at risk for further ischemic necrosis of bowel, reperfusion injury, bacterial translocation, and short bowel syndrome. Breed and time to intervention are suspected to play a role in prognosis.

Original languageEnglish (US)
Title of host publicationSmall Animal Surgical Emergencies
PublisherWiley-Blackwell
Pages63-69
Number of pages7
ISBN (Electronic)9781118487181
ISBN (Print)9781118413487
DOIs
StatePublished - Oct 10 2015

Bibliographical note

Publisher Copyright:
© 2016 John Wiley & Sons, Ltd. All rights reserved.

Keywords

  • Bacterial translocation
  • Intestinal volvulus
  • Ischemic necrosis
  • Mesenteric torsion
  • Reperfusion injury
  • Short bowel syndrome

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