Influential factors of surgical treatment for ischemic enteropathy secondary to portal venous system thrombosis

Objective To investigate the influential factors of surgical treatment for ischemic enteropathy secondary to portal venous system thrombosis (PVST). Methods Clinical data of 27 patients with ischemic enteropathy secondary to PVST admitted in our department from January 2009 to Jun 2016 were analyzed retrospectively. These patients were divided into two groups according to different surgical procedures: ischemic bowel resection with primary anastomosis or ostomy. Results There were significant differences between the groups in albumin and prealbumin level (t=3.585, 4.194, P<0.05). There were also significant differences for BMI and body fat (t=2.325, 2.430, P<0.05). The average time from the onset PVST to ischemic enteropathy was 20 d. Conclusion There should be awareness of ischemic enteropathy. Intestinal resection and anticoagulation therapy is necessary. The choice of surgical procedures depends on the preoperative nutrition level (albumin, prealbumin).