Factors that may affect the outcome of acute occlusive mesenteric ischemia. A single-center study.
BMC Surg
; 24(1): 21, 2024 Jan 13.
Article
em En
| MEDLINE
| ID: mdl-38218808
ABSTRACT
BACKGROUND:
Acute mesenteric ischemia is a rare but lethal disease. Acute occlusive mesenteric ischemia consists of mesenteric artery embolism, mesenteric artery thrombosis, and mesenteric vein thrombosis. This study aimed to investigate the factors that may affect the outcome of acute occlusive mesenteric ischemia.METHODS:
Data from acute occlusive mesenteric ischemia patients admitted between May 2016 and May 2022 were reviewed retrospectively. Patients were divided into 2 groups according to whether complications(ClavienâDindo ≥ 2) occurred within 6 months of the first admission. Demographics, symptoms, signs, laboratory results, computed tomography angiography features, management and outcomes were analyzed.RESULTS:
59 patients were enrolled in this study. Complications(ClavienâDindo ≥ 2) occurred within 6 months of the first admission in 17 patients. Transmural intestinal necrosis, peritonitis, white blood cell count, percentage of neutrophils, percentage of lymphocytes, neutrophil-to-lymphocyte ratio, lactate dehydrogenase, creatine kinase isoenzyme, cardiac troponin I, laparoscopic exploration rate, open embolectomy rate, enterostomy rate, length of necrotic small bowel, length of healthy small bowel, surgical time and intraoperative blood loss differed significantly between groups. Creatine kinase isoenzyme (OR = 1.415, 95% CI 1.060-1.888) and surgical time (OR = 1.014, 95% CI 1.001-1.026) were independent risk factors associated with complications(ClavienâDindo ≥ 2).CONCLUSIONS:
Our analysis suggests that acute occlusive mesenteric ischemia patients with a creatine kinase isoenzyme level greater than 2.22 ng/mL or a surgical time longer than 156 min are more likely to experience complications'(ClavienâDindo ≥ 2) occurrence within 6 months of the first admission.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Trombose
/
Isquemia Mesentérica
/
Oclusão Vascular Mesentérica
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
BMC Surg
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China