Non-occlusive mesenteric ischemia during acute stroke management: three case reports

BACKGROUND: There are many reports of non-occlusive mesenteric ischemia in patients on maintenance hemodialysis and following cardiac surgery. However, there are few reports of non-occlusive mesenteric ischemia in patients with acute stroke. CASE PRESENTATION: We report three cases of non-occlusive...

Descripción completa

Detalles Bibliográficos
Autores principales: Fujii, Kazuki, Seki, Tadahiko, Nakata, Yasuyuki, Atagi, Kazuaki, Matsuyama, Takeshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8885953/
https://www.ncbi.nlm.nih.gov/pubmed/35226203
http://dx.doi.org/10.1186/s40792-022-01392-y
_version_ 1784660547471409152
author Fujii, Kazuki
Seki, Tadahiko
Nakata, Yasuyuki
Atagi, Kazuaki
Matsuyama, Takeshi
author_facet Fujii, Kazuki
Seki, Tadahiko
Nakata, Yasuyuki
Atagi, Kazuaki
Matsuyama, Takeshi
author_sort Fujii, Kazuki
collection PubMed
description BACKGROUND: There are many reports of non-occlusive mesenteric ischemia in patients on maintenance hemodialysis and following cardiac surgery. However, there are few reports of non-occlusive mesenteric ischemia in patients with acute stroke. CASE PRESENTATION: We report three cases of non-occlusive mesenteric ischemia with onset during treatment for acute stroke. All of the patients were undergoing strict blood-pressure control, and two patients developed NOMI soon after tracheostomy when enteral nutrition had been resumed. CONCLUSION: Many stroke patients are older adults with risk factors such as arteriosclerosis. Thus, during acute stroke management, there is a possibility that patients may develop non-occlusive mesenteric ischemia due to decreased intestinal blood flow secondary to strict blood-pressure control. This case report implicates early enteral nutrition as a potential etiopathogenic factor of non-occlusive mesenteric ischemia in patients with acute stroke.
format Online
Article
Text
id pubmed-8885953
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-88859532022-03-08 Non-occlusive mesenteric ischemia during acute stroke management: three case reports Fujii, Kazuki Seki, Tadahiko Nakata, Yasuyuki Atagi, Kazuaki Matsuyama, Takeshi Surg Case Rep Case Report BACKGROUND: There are many reports of non-occlusive mesenteric ischemia in patients on maintenance hemodialysis and following cardiac surgery. However, there are few reports of non-occlusive mesenteric ischemia in patients with acute stroke. CASE PRESENTATION: We report three cases of non-occlusive mesenteric ischemia with onset during treatment for acute stroke. All of the patients were undergoing strict blood-pressure control, and two patients developed NOMI soon after tracheostomy when enteral nutrition had been resumed. CONCLUSION: Many stroke patients are older adults with risk factors such as arteriosclerosis. Thus, during acute stroke management, there is a possibility that patients may develop non-occlusive mesenteric ischemia due to decreased intestinal blood flow secondary to strict blood-pressure control. This case report implicates early enteral nutrition as a potential etiopathogenic factor of non-occlusive mesenteric ischemia in patients with acute stroke. Springer Berlin Heidelberg 2022-02-28 /pmc/articles/PMC8885953/ /pubmed/35226203 http://dx.doi.org/10.1186/s40792-022-01392-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Fujii, Kazuki
Seki, Tadahiko
Nakata, Yasuyuki
Atagi, Kazuaki
Matsuyama, Takeshi
Non-occlusive mesenteric ischemia during acute stroke management: three case reports
title Non-occlusive mesenteric ischemia during acute stroke management: three case reports
title_full Non-occlusive mesenteric ischemia during acute stroke management: three case reports
title_fullStr Non-occlusive mesenteric ischemia during acute stroke management: three case reports
title_full_unstemmed Non-occlusive mesenteric ischemia during acute stroke management: three case reports
title_short Non-occlusive mesenteric ischemia during acute stroke management: three case reports
title_sort non-occlusive mesenteric ischemia during acute stroke management: three case reports
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8885953/
https://www.ncbi.nlm.nih.gov/pubmed/35226203
http://dx.doi.org/10.1186/s40792-022-01392-y
work_keys_str_mv AT fujiikazuki nonocclusivemesentericischemiaduringacutestrokemanagementthreecasereports
AT sekitadahiko nonocclusivemesentericischemiaduringacutestrokemanagementthreecasereports
AT nakatayasuyuki nonocclusivemesentericischemiaduringacutestrokemanagementthreecasereports
AT atagikazuaki nonocclusivemesentericischemiaduringacutestrokemanagementthreecasereports
AT matsuyamatakeshi nonocclusivemesentericischemiaduringacutestrokemanagementthreecasereports

Ejemplares similares