Prevention and management of intestinal complications after mesenteric occlusive disease surgery        ZHU Wei-ming, GU Li-li. Department of General Surgery, Nanjing General Hospital of Nanjing Military Region, Nanjing 210002, China
Corresponding author: ZHU Wei-ming, E-mail:juwiming@126.com
Abstract    Mesenteric occlusive disease is one of the most important causes of massive intestinal resection. The range of intestinal necrosis may vary depending on the severity and management of the disease. The one stage resection and anastomosis should be used with caution to avoid ischemia and continuing necrosis of the remnant intestine, which may bring about high morbidity and mortality. Damage control surgery with emergency resection of the necrotic intestine and thrombolectomy is the main task of 1st stage operation, after which anticoagulation, thrombolysis and antioxidation therapy together with fluid resuscitation should be followed. Definite surgery should be performed when patients are hemodynamically stable and intestinal viability ensured, which usually occur in 24-48h. Relaparotomy for ischemic intestinal anastomosis is very difficult technically demanding comprehensive perioperative preparation. Special care should be given to avoid further damage to the residue intestine to result in short bowel syndrome.