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Mesenterielt traktionssyndrom
Engelsk titel: Mesenteric traction syndrome Läs online Författare: Krohn, Paul Suno ; Ambrus, Rikard ; Zaar, Morten ; Secher, Niels H ; Svendsen, Lars Bo Språk: Dan Antal referenser: 25 Dokumenttyp: Översikt UI-nummer: 15037926

Tidskrift

Ugeskrift for Laeger 2015;177(2)160-3 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Mesenteric traction syndrome (MTS) manifests in 58-87% of patients undergoing upper abdominal surgery and is characterised by a triad of hypotension, tachycardia, and flushing. Prostacyclin is released from the gut mucosa following intestinal eventration and cyclooxygenase antagonists prevent the development of MTS. Also the use of remifentanil appears to increase the incidence of MTS and hypotension is aggravated by epidural analgesia. Yet, prostacyclin may be important for maintaining microcirculation within the splanchnic area and preserve its mucosal barrier.