Treatment of Sclerosing Mesenteritis Presenting with Bowel Obstruction
Sclerosing mesenteritis can progress to cause bowel obstruction, a complication that significantly narrows the management options and may require a distinct clinical pathway.
Clinical scenario: Sclerosing mesenteritis with concurrent bowel obstruction. Initial nonoperative management is the preferred approach when feasible; however, failure to resolve the obstruction changes the treatment course.
Approach overview
When nonoperative measures are insufficient, a surgical intervention targeting the obstructed bowel segment may be indicated. The complete structured regimen — including sequence, criteria, and decision points — is in the full protocol.
References
Bowel obstruction is managed with nonoperative management when feasible, but if unsuccessful, surgical bypass may be required.
DOI: 10.1016/j.cgh.2024.12.025
View source ↗