Poor prognostic factors in patients who underwent surgery for acute non-occlusive ischemic colitis

World Journal of Emergency Surgery : WJES
Minsu NohKyu Yeol Kim

Abstract

Ischemic colitis (IC) is a disease with high postoperative morbidity and mortality. Knowledge of the risk factors for postoperative mortality could be helpful in clinical decision making and in optimizing postoperative treatment. From a prospective database, we conducted a retrospective medical record review of 50 patients who underwent surgery for IC between 2003 and 2011 at our institution. We analyzed the causes and potential risk factors for early mortality after surgery for IC. The early postoperative mortality and morbidity rates were 30.0% (15/50) and 54% (27/50), respectively. The two most common causes of death were multi-organ failure (66.7%, 10/15) and fulminant septic shock (20.0%, 3/15). Univariate analysis showed that postoperative mortality was significantly associated with preoperative nephropathy, coronary artery disease, a previous history of cardiovascular surgery, an ASA score ≥ 4, surgical delay ≥ 3 days, preoperative hemodynamic instability, and use of pre- and intraoperative adrenergic vasopressors. In the multivariate analysis, a previous history of cardiovascular surgery (odds ratio [OR], 8.2; 95% confidence interval [CI], 1.2-56.5) and surgical delay ≥ 3 days (OR, 5.7; 95% CI, 1.2-27.9) were identified...Continue Reading

References

Jun 1, 1989·Diseases of the Colon and Rectum·N L Guttormson, M P Bubrick
Feb 1, 1983·Diseases of the Colon and Rectum·M E Abel, T R Russell
Feb 1, 1996·The Journal of Surgical Research·W E LongoF E Johnson
Aug 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M BjörckT Troëng
Oct 1, 1996·The British Journal of Surgery·A J SandisonP R Taylor
Jun 1, 1997·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M BjörckD Bergqvist
Jan 4, 1998·Diseases of the Colon and Rectum·W E LongoD L Kaminski
Jul 1, 1999·Clinics in Chest Medicine·A LioliosE Benjamin
Feb 7, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T HoueT V Schroeder
Jun 16, 2001·Annals of Surgery·E D EndeanR M Mentzer
Nov 8, 2003·Surgery·James R ScharffDonald L Kaminski
Mar 27, 2004·Diseases of the Colon and Rectum·Carlos MedinaJ R Malagelada
Jul 26, 2006·World Journal of Surgery·Maria Asuncion Acosta-MeridaJuan Maria Hernandez-Romero
Sep 22, 2007·World Journal of Emergency Surgery : WJES·Baber N ChaudharyMohammed H Niayesh
Feb 21, 2008·Langenbeck's Archives of Surgery·Dalibor AntolovicJürgen Weitz
Dec 26, 2008·World Journal of Gastroenterology : WJG·Angeliki Theodoropoulou, Ioannis-E Koutroubakis
Jan 21, 2011·Surgery·Christoph ReissfelderMoritz Koch
Dec 18, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Anthony W CastleberryJohn Migaly
Jan 16, 2014·International Journal of Colorectal Disease·Jörg GenstorferRachel Rosenthal

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Citations

Jun 4, 2016·World Journal of Emergency Surgery : WJES·Minsu NohKyu Yeol Kim
May 12, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S AbdallaS Benoist
May 17, 2018·Trauma Surgery & Acute Care Open·Joshua TsengRodrigo F Alban
Oct 28, 2019·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Oliver BeetzKai Timrott
Sep 17, 2020·International Journal of Colorectal Disease·YuShuang XuZhiFan Xiong
Sep 21, 2017·Frontiers in Surgery·Evangelos P MisiakosAnastasios Machairas
Aug 3, 2020·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Oliver BeetzKai Timrott
Nov 11, 2019·International Journal of Colorectal Disease·Asad JehangirEugene P York
Jul 1, 2020·World Journal of Emergency Surgery : WJES·Nassiba BeghdadiNicola De' Angelis
Mar 5, 2021·Clinics and Research in Hepatology and Gastroenterology·Antonella MaimoneMassimo Conio

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

SPSS

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