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Normal Lactate and Unenhanced CT-Scan Result in Delayed Diagnosis of Acute Mesenteric Ischemia.
Nuzzo, Alexandre; Joly, Francisca; Ronot, Maxime; Castier, Yves; Huguet, Audrey; Paugam-Burtz, Catherine; Cazals-Hatem, Dominique; Tran-Dinh, Alexy; Becq, Aymeric; Panis, Yves; Bouhnik, Yoram; Maggiori, Leon; Corcos, Olivier.
Afiliação
  • Nuzzo A; APHP, Deparment of Gastroenterology, IBD and Intestinal Failure, Beaujon Hospital, Clichy, France.
  • Joly F; University of Paris, Paris, France.
  • Ronot M; APHP, Deparment of Gastroenterology, IBD and Intestinal Failure, Beaujon Hospital, Clichy, France.
  • Castier Y; University of Paris, Paris, France.
  • Huguet A; University of Paris, Paris, France.
  • Paugam-Burtz C; APHP, Department of Radiology, Beaujon Hospital, Clichy, France.
  • Cazals-Hatem D; APHP, Department of Vascular Surgery, Bichat Hospital, Paris, France.
  • Tran-Dinh A; APHP, Deparment of Gastroenterology, IBD and Intestinal Failure, Beaujon Hospital, Clichy, France.
  • Becq A; University of Paris, Paris, France.
  • Panis Y; University of Paris, Paris, France.
  • Bouhnik Y; APHP, Department of Anesthesia and Intensive Care, Beaujon Hospital, Clichy, France.
  • Maggiori L; University of Paris, Paris, France.
  • Corcos O; APHP, Department of Pathology, Beaujon Hospital, Clichy, France.
Am J Gastroenterol ; 115(11): 1902-1905, 2020 11.
Article em En | MEDLINE | ID: mdl-33156109
ABSTRACT

INTRODUCTION:

To investigate the factors associated with a delayed diagnosis (DD) of acute mesenteric ischemia (AMI).

METHODS:

An observational cohort study from an intestinal failure center. The primary outcome was DD >24 hours.

RESULTS:

Between 2006 and 2015, 74 patients with AMI were included and 39 (53%) had a DD. Plasma lactate <2 mmol/L (odd ratio 3.2; 95% confidence interval 1.1-9.1; P = 0.03) and unenhanced computed tomography scan (odds ratio 5.9; 95% confidence interval 1.4-25.8; P = 0.01) were independently associated with DD.

DISCUSSION:

Suspicion of AMI should no longer be affected by normal plasma lactate levels and should prompt evaluation by a contrast-enhanced computed tomography-scan.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Tomografia Computadorizada por Raios X / Ácido Láctico / Meios de Contraste / Diagnóstico Tardio / Isquemia Mesentérica Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies / Screening_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Tomografia Computadorizada por Raios X / Ácido Láctico / Meios de Contraste / Diagnóstico Tardio / Isquemia Mesentérica Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies / Screening_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2020 Tipo de documento: Article