EP-566 A case series analysis of intestinal ischemia in COVID- 19 pandemic

Abstract

Aims To determine the presentation and outcomes of cases of intestinal Ischemia amidst COVID -19 pandemic and to review latest guidelines in its management. Methods A case series analysis of 11 patients admitted and managed under Department of Surgery, over a duration of 17 months from September 2020 to January 2022. Results Out of the total of 11 cases of intestinal ischemia, 4 were COVID-19 positive, overall mortality was 54.5% and patients with COVID-19 were found to have 100% mortality. Mortality in conservatively managed patients was also 100%, Mortality in surgically managed patients was 55.5%. Preoperative acidosis, hypoxia and hypotension were found to be important determinants of outcome of the disease. Conclusion Occurrence of intestinal Ischemia in COVID - 19 patients is a life threatening complication which demands surgical management with significant mortality. Treatment of COVID - 19 and intestinal Ischemia should go simultaneously and in line with the latest evidence based guidelines of COVID 19, Patients who survive an acute event are likely to die of other complications related to the COVID-19 like ARDS, Disseminated Intravascular Coagulation etc that could have predisposed them to intestinal ischemia