Contemporary management of acute mesenteric ischemia: Factors associated with survival

Park, Woosup M.; Gloviczki, Péter; Cherry, Kenneth J.; Hallett, John W.; Bower, Thomas C.; Panneton, Jean M.; Schleck, Cathy D.; Ilstrup, Duane M.; Harmsen, William S.; Noel, Audra A.

doi:10.1067/mva.2002.120373

Cited by 405 publications

(345 citation statements)

References 27 publications

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“…As might be expected, most of these patients have comorbidities, the most commonly reported being hypertension [10,11], which is present in more than 70 %. Other common associated conditions include coronary artery disease, chronic renal failure, diabetes, peripheral vascular disease, cerebrovascular disease and chronic obstructive pulmonary disease.…”

Section: Discussionmentioning

confidence: 93%

“…One study [10] reported multiorgan failure to be the most common cause (75 %) of death in these patients, the others being rethrombosis, myocardial infarction and obstructive pulmonary disease. Similarly, we found multiorgan failure to be the cause of mortality in 28 of our patients (61 %) with septicaemia in 16 patients, only 8 of which were from an identifiable source.…”

Section: Discussionmentioning

confidence: 99%

“…These studies either do not include MVT or their proportion is too small [10,23], and one study has not done subgroup analysis based on aetiology which is the most important prognostic factor [3] as shown by the systematic review and many other studies. The present study analyses data after dividing patients with AMI into aetiological subgroups.…”

Section: Discussionmentioning

confidence: 99%

“…Two recent studies [10,11] have studied the postoperative complications after surgery for AMI. Respiratory failure and infection (including respiratory, surgical site infections and septicemia) were most common; other complications were myocardial infarction, renal failure and extension of thrombus and gangrene.…”

Section: Discussionmentioning

confidence: 99%

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Acute Mesenteric Ischaemia—An Indian Perspective

et al. 2014

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In Western countries, acute mesenteric ischaemia is commonly due to arterial occlusion and occurs in patients who are usually in their seventh decade. A venous cause for intestinal gangrene has been reported in only about 10 %. We examined whether this was so in India and compared the clinical features of patients with mesenteric arterial and venous ischaemia and relate these to their ultimate prognosis. We studied retrospectively, the records of all patients admitted or referred to the department with a diagnosis of acute mesenteric ischaemia between January 1997 and October 2012, noting their demographic details and mode of presentation, the results of preoperative imaging and blood investigations, the extent of bowel ischaemia, and the length of bowel that was resected at operation and their outcome. There were 117 patients, 85 males and 32 females whose median age was 53 years. Mesenteric venous thrombosis was seen in 56 patients (48 %) and mesenteric arterial occlusion in 61 (52 %). Forty six patients died (39 %); 15 with venous occlusion (27 %) and 31 with arterial occlusion (51 %). Compared to patients with arterial occlusion, the patients with venous obstruction were younger, had a longer duration of symptoms, were less frequently hypotensive at presentation, had higher platelet counts, had a shorter length of bowel resected, had fewer colonic resections and had a lower mortality. Other predictors of mortality on multivariate analysis were a longer duration of symptoms, lower serum albumin and higher creatinine levels at presentation and a shorter length of residual bowel. In India, acute mesenteric ischaemia in tertiary care centres is due to venous thrombosis in almost half of the patients who are at least a decade younger than those in the West. Significant predictors of mortality include low serum albumin and raised creatinine levels, a shorter residual bowel length and an arterial cause for mesenteric ischaemia.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Acute Mesenteric Ischaemia—An Indian Perspective

et al. 2014

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“…Os sintomas mais comuns, segundo estudo de Park e cols. 2 , são dor abdominal (95% dos pacientes), seguida de náuseas em 44% dos pacientes. Diarréia com sangue ou hematoquezia estão presentes em 16% dos pacientes, mas enterorragia maciça é incomum.…”

Section: Aspectos Clínicosunclassified