| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Critical Care Medicine |
| Manuscript Type |
Retrospective Cohort Study |
| Article Title |
Nomogram for predicting transmural bowel infarction in patients with acute superior mesenteric venous thrombosis
|
| Manuscript Source |
Invited Manuscript |
| All Author List |
Meng Jiang, Chang-Li Li, Chun-Qiu Pan, Wen-Zhi Lv, Yu-Fei Ren, Xin-Wu Cui and Christoph F Dietrich |
| ORCID |
|
| Funding Agency and Grant Number |
| Funding Agency |
Grant Number |
| Wuhan Tongji Hospital |
2017A002 |
| Wuhan Science and Technology Bureau |
2017060201010181 |
|
| Corresponding Author |
Xin-Wu Cui, MD, PhD, Professor, Sino-German Tongji-Caritas Research Center of Ultrasound in Medicine, Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095, Jiefang Avenue, Wuhan 430030, Hubei Province, China. cuixinwu@live.cn |
| Key Words |
Superior mesenteric venous thrombosis; Acute mesenteric ischemia; Transmural bowel infarction; Reversible intestinal ischemia; Predictors; Nomogram |
| Core Tip |
The high mortality rate of acute superior mesenteric venous thrombosis is closely associated with the occurrence of transmural bowel infarction (TBI). Early detection and subsequent resection of irreversible necrotic intestine, before sepsis and multi-organ failure could improve the functional outcome of the small bowel and patient prognosis. We found that the decreased bowel wall enhancement, rebound tenderness, serum lactate levels > 2 mmol/L and previous history of deep venous thrombosis independently predicted TBI. A nomogram that incorporated these four risk factors achieved an area under the receiver operator characteristic curve of 0.860 and 0.851 in the training and validation cohort respectively, with good calibration. The nomogram can be conveniently used to facilitate the individualized prediction of TBI in patients with acute mesenteric ischemia. |
| Publish Date |
2020-07-14 15:42 |
| Citation |
Jiang M, Li CL, Pan CQ, Lv WZ, Ren YF, Cui XW, Dietrich CF. Nomogram for predicting transmural bowel infarction in patients with acute superior mesenteric venous thrombosis. World J Gastroenterol 2020; 26(26): 3800-3813 |
| URL |
https://www.wjgnet.com/1007-9327/full/v26/i26/3800.htm |
| DOI |
https://dx.doi.org/10.3748/wjg.v26.i26.3800 |
