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Clinical review highlights surgical stoma creation and staged reconstruction protocols in acute mesenteric ischemia, suggesting prolonged nutritional support prior to bowel reanastomosis.
According to damage control surgery, after early revascularization, patients with acute intestinal necrosis should be treated with infarcted bowel resection and stomas. Besides, second operation to restore the continuity of intestinal tract should be conducted after nutritional support for 6 months. Patients with ischemic enteropathy who cannot be corrected with severe malnutrition should achieve stomas during first operation.
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Sun et al. (2018) studied this question.
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