Predictors of mortality in acute mesenteric vascular ischemia with bowel gangrene

Dhamnaskar, Suchin; Sawarkar, Prashant; Mandal, Sumit; Vijaykumaran, Preeti

doi:10.18203/2349-2902.isj20163540

Cited by 3 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In their study, the mortality rate was significantly higher in patients who presented late. Time to diagnosis also played a role; survival rate dropped from 50% to 30% after the first 24 h [11].…”

Section: Discussionmentioning

confidence: 99%

Effect of timing on endovascular therapy and exploratory laparotomy outcome in acute mesenteric ischemia

Hsu

Bhattacharya

Chan

et al. 2019

aog

View full text Add to dashboard Cite

Background:Abdominal exploration followed by vascular bypass has been the standard of care for acute mesenteric ischemia (AMI), but there is increasing use of endovascular treatment with selective exploratory laparotomy.Methods:We performed a retrospective review of patients diagnosed with AMI who underwent mesenteric artery angioplasty or stenting at a single institution from 2010-2017. Patients were divided into 3 groups: those who did not undergo exploratory laparotomy; those who received endovascular treatment before laparotomy (post-reperfusion laparotomy group); and those who had endovascular treatment after laparotomy (pre-reperfusion laparotomy group).Results:Patients who did not undergo exploratory laparotomy showed 85.7% (12/14) survival, compared with 63.6% (7/11) in the post-reperfusion group and 25.0% (2/8) in the pre-reperfusion group, P=0.077). Time to reperfusion was significant (P=0.009) in predicting survival for patients who underwent exploratory laparotomy.Conclusion:Emergent endovascular treatment prior to laparotomy seems to be associated with a higher survival.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of timing on endovascular therapy and exploratory laparotomy outcome in acute mesenteric ischemia

Hsu

Bhattacharya

Chan

et al. 2019

aog

View full text Add to dashboard Cite

show abstract

Clinical Predictors of mortality in Acute Mesenteric Ischemia

Elsharkawy¹,

Zeid²,

Ahmed³

et al. 2021

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

The Frequency of Gangrenous Infarction of Intestine in Patients Undergoing Intestinal Resection at Tertiary Care Hospital, Rawalpindi

Ruqia,

Waheed,

Maheen

et al. 2024

PJHS

View full text Add to dashboard Cite

Gangrenous bowel or dead bowel most often occurs as a result of hernia, adhesions, and mesenteric insufficiency. Intestinal gangrene due to acute mesenteric vascular events requiring surgery is one of the most common surgical emergencies at tertiary care hospitals. Objective: To determine the frequency of gangrenous infarction in patients undergoing intestinal resection at a tertiary care hospital. Methods: This descriptive cross-sectional study was conducted in the Department of Surgery and Pathology, Rawalpindi, Pakistan. A total of 140 resected intestinal specimens were included in this study. Data were entered and analyzed using SPSS v. 23. o. Descriptive statistics were applied and a P-value <0.05 was taken as statistically significant. Results: Out of 140 samples, clinical specimens from 30(21.4%) patients were found to be gangrenous. The frequency of gangrene was slightly higher in females 16 (53.3%) as compared to males 14 (46.7%) with a peak of 19 patients (63.3%) in the age group of 31 to 60 years and mostly affecting the small intestine 21 (70%). Among the total of 110 (78.6%) non-gangrenous specimens; mild inflammatory changes, perforation, ulceration, tumors, mucosal and mural infarction, infection, reactive hyperplasia, and autolytic changes were noted. Conclusions: The frequency of intestinal gangrene is much higher in our population than in most regions of the world, slightly more common in females as compared to males with a peak in the age group of 31 to 60 years and mostly involving the small intestine, indicating negligence towards this important problem.

show abstract

Predictors of mortality in acute mesenteric vascular ischemia with bowel gangrene

Cited by 3 publications

References 11 publications

Effect of timing on endovascular therapy and exploratory laparotomy outcome in acute mesenteric ischemia

Effect of timing on endovascular therapy and exploratory laparotomy outcome in acute mesenteric ischemia

Clinical Predictors of mortality in Acute Mesenteric Ischemia

The Frequency of Gangrenous Infarction of Intestine in Patients Undergoing Intestinal Resection at Tertiary Care Hospital, Rawalpindi

Contact Info

Product

Resources

About

Predictors of mortality in acute mesenteric vascular ischemia with bowel gangrene

Cited by 3 publications

References 11 publications

Effect of timing on endovascular therapy and exploratory laparotomy outcome in acute mesenteric ischemia

Effect of timing on endovascular therapy and exploratory laparotomy outcome in acute mesenteric ischemia

Clinical Predictors of mortality in Acute Mesenteric Ischemia

​​The Frequency of Gangrenous Infarction of Intestine in Patients Undergoing Intestinal Resection at Tertiary Care Hospital, Rawalpindi

Contact Info

Product

Resources

About

The Frequency of Gangrenous Infarction of Intestine in Patients Undergoing Intestinal Resection at Tertiary Care Hospital, Rawalpindi