Intestinal Ischemia and Infarction
Alternate Names : Dead Bowel, Dead Gut, Intestinal Necrosis, Ischemic Bowel
DefinitionDeath of part of the intestine after its blood supply is cut off.
Pictures & Images
 See all Pictures & Images
Overview, Causes, & Risk Factors
There are several possible causes of intestinal ischemia and infarction.
Hernia: If the intestine moves into the wrong place or becomes tangled, this can lead to intestinal ischemia.
Adhesions: The intestine can also become trapped in scar tissue from previous surgery (adhesions), which can lead to ischemia if left untreated.
Embolus: A blood clot from the heart or main blood vessels may travel through the bloodstream and block one of the arteries supplying the intestine. Patients with previous heart attacks or with arrhythmias such as atrial fibrillation are at risk for this problem.
Arterial thrombosis: The arteries that supply blood to the intestine may become so narrowed from of atherosclerotic disease (cholesterol buildup) that they block off. When this happens in the arteries to the heart, it causes a heart attack. When it happens in the arteries to the intestine, it causes intestinal ischemia.
Venous thrombosis: The veins carrying blood away from the intestines may become blocked by blood clots. This is more common in people with liver disease, cancer or abnormal clotting disorders.
Low blood pressure: Very low blood pressure in patients with pre-existing narrowing of the arteries can also cause intestinal ischemia. This typically occurs in patients who are very ill for other reasons and can be compared to losing water pressure in a hose with a partial blockage.
|
