Bowel obstruction is a recognised complication of sclerosing mesenteritis and requires a carefully considered management approach. This page outlines the structured protocol for this specific clinical scenario.
Sclerosing mesenteritis presenting with bowel obstruction poses a management challenge, as the underlying fibroinflammatory mesenteric process can mechanically compromise the bowel. The approach to obstruction in this setting must weigh intervention risk against the potential for resolution.
Initial management of bowel obstruction in sclerosing mesenteritis centres on a nonoperative strategy when clinically feasible — though further interventional steps are defined for cases where this approach is insufficient.
DOI: 10.1016/j.cgh.2024.12.025
Bowel obstruction is managed with nonoperative management when feasible, but if unsuccessful, surgical bypass may be required.
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