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Intestinal ischemia and infarction - Treatment

Alternative Names

Intestinal necrosis; Ischemic bowel; Dead bowel; Dead gut

Treatment:

Treatment usually requires surgery. The section of intestine that has died is removed, and the healthy remaining ends of bowel reconnected.

In some cases, a colostomy or ileostomy is necessary. A blockage of arteries supplying the intestine is corrected if possible.

Expectations (prognosis):

Intestinal ischemia is a serious condition that can result in death if not treated promptly. The outlook depends on the cause. A good outcome may be achieved with prompt treatment.

Complications:

Intestinal infarction may require a colostomy or ileostomy, either temporary or permanent. Peritonitis is common in such cases.

Severe illness with fever and bloodstream infection (sepsis) can result.

Calling your health care provider:

Call your health care provider if you have any severe abdominal pain.

  • Reviewed last on: 5/15/2008
  • Robert A. Cowles, MD, Assistant Professor of Surgery, Columbia University College of Physicians and Surgeons, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Fry RD, Mahmoud N, Maron DJ, Ross HM, Rombeau J. Townsend: Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008.

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