Skip to main content

Table 2 Twelve cases of bowel necrosis or NOMI after esophagectomy

From: Successful surgical treatment for nonocclusive mesenteric ischemia of a wide area of the intestine accompanied by gastric conduit necrosis after esophagectomy for esophageal cancer: a case report and review of the literature

Author

Age

Sex

Comorbidity

Diagnosis

Symptoms after IS

Abnormal findings after IS

CT findings after IS

Treatment

The extent of ischemic change

Outcome

Lawlor [6]

65

F

ND

Barrett’s esophagus and severe dysplasia

Abdominal distension

Respiratory and renal failures

ND

Intestinal resection

10 cm proximal to the jejunostomy and extending to the cecum

Survival

57

M

ND

EC

Abdominal distension

Fever, hypotension, respiratory and renal failures

Pneumatosis intestinalis

Intestinal resection

Small intestine distal to jejunostomy

Survival

Hokamura [7]

71

M

ND

EC

Abdominal pain

Base excess: − 5

ND

Intestinal resection

Almost the entire small intestine

Dead

70

M

ND

EC

Abdominal pain

Base excess: − 8

ND

Intestinal resection

Almost the entire small intestine and colon

Dead

75

M

ND

EC

ND

Base excess: − 7

ND

Intestinal resection

Almost the entire small intestine

Dead

Melis [8]

54

F

Hypertension

EC

Abdominal distension and discomfort

Respiratory and renal failures

Mild ascites and distended loops of small and large intestines

Intestinal resection

Jejunostomy and extending distally for about 40 cm

Dead

Qureshi [9]

58

M

Myocardial infarction

EC

Abdominal distension

Supraventricular tachycardia

Mediastinal collection

Laparotomy

Congested gastric tube with sloughing at the anastomotic site, entire small and large intestines

Dead

Sethuraman [10]

60

ND

Hyperlipidemia

EC

Abdominal distension and pain

Increased nasogastric tube output, hypotension, respiratory and renal failures

ND

Intestinal resection

Distal to the jejunostomy

Survival

74

ND

Hypertension, diabetes

EC

ND

Leukocytosis, fever, abdominal compartment syndrome

ND

Intestinal resection

Distal to the jejunostomy

Survival

Irie [11]

62

M

Hypertension

EC

Abdominal pain

Pyrexia, lowered renal function, elevated CRP value

Pneumatosis intestinalis

Open abdominal management

50–170 cm proximal to the ileum

Survival

Kurita [12]

75

M

None

EC

Diarrhea, abdominal pain and distension

Fever, bloody drainage through gastrostomy, leukocytosis, elevated CRP value

Hepatic portal venous gas, dilated digestive tract with pneumatosis intestinalis, ascites

Papaverine

ND

Survival

68

M

Diabetes, atrial fibrillation

EC

Diarrhea, abdominal pain and distension

Bloody drainage through jejunostomy, leukocytosis, elevated CRP value

Hepatic portal venous gas, dilated digestive tract with pneumatosis intestinalis, ascites

Papaverine

ND

Survival

  1. NOMI nonocclusive mesenteric ischemia, IS initial surgery, ND no description, EC esophageal cancer