Preoperative Parenteral Iron Supplementation in Critical Mesenteric Ischaemia

Volume 2 - Issue 3

Misha Sidapra*, Sarah Jane Messeder, Chenhan Ma, Jill Austin, Euan Munro and Bryce Renwick

Received: February 19, 2019;   Published: February 26, 2019

DOI: 10.32474/SCSOAJ.2019.02.000137

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Abstract

Background

Symptomatic mesenteric ischaemia is an uncommon disease entity which can prove complicated to diagnose and manage. Both endovascular and open operative approaches have been described but the nutritional complications caused by poor gut absorption can mean that these patients may be at higher risk of operative complications, and appropriate care should be given to preoperative nutritional optimisation prior to surgical management.

Objective

We present a case of critical mesenteric arterial stenosis treated with preoperative intravenous iron supplementation to illustrate preoperative optimisation and therapeutic approaches, together with a selected review of the literature

Conclusion

Preoperative parenteral iron supplementation is likely to be effective in reducing preoperative anaemia but the impact of this intervention on postoperative blood transfusion and other complications in the context of complex aortic surgery is unknown.

Keywords: Critical Mesenteric Ischaemia; Iron Supplementation; Preoperative Optimisation

Abstract| Introduction| Case Report| Discussion| Conclusion| References|