Surgical management of thrombotic acute intestinal ischemia

Annals of Surgery
Eric D EndeanR M Mentzer

Abstract

To evaluate the University of Kentucky experience in treating acute intestinal ischemia to elucidate factors that contribute to survival. Acute intestinal ischemia is reported to have a poor prognosis, with survival rates ranging from 0% to 40%. This is based on several reports, most of which were published more than a decade ago. Remarkably, there is a paucity of recent studies that report on current outcome for acute mesenteric ischemia. A comparative retrospective analysis was performed on patients who were diagnosed with acute intestinal ischemia between May 1993 and July 2000. Patients were divided into two cohorts: nonthrombotic and thrombotic causes. The latter cohort was subdivided into three etiologic subsets: arterial embolism, arterial thrombosis, and venous thrombosis. Patient demographics, clinical characteristics, risk factors, surgical procedures, and survival were analyzed. Survival was compared with a collated historical series. Acute intestinal ischemia was diagnosed in 170 patients. The etiologies were nonthrombotic (102/170, 60%), thrombotic (58/170, 34%), or indeterminate (10/170, 6%). In the thrombotic cohort, arterial embolism accounted for 38% (22/58) of the cases, arterial thrombosis for 36% (21/58), an...Continue Reading

References

Feb 1, 1977·American Journal of Surgery·M I KairaluomaT K Larmi
Feb 1, 1992·The Surgical Clinics of North America·R N KaleyaS J Boley
Apr 1, 1989·Journal of the American Geriatrics Society·P M FinucaneM S Pathy
Aug 1, 1986·Gastroenterology·W H VanDeinseD Phillips
Jun 1, 1987·Journal of Vascular Surgery·J J BerganJ S Yao
Mar 1, 1972·American Journal of Surgery·H Slater, D W Elliott
Nov 1, 1994·Diseases of the Colon and Rectum·T A SchneiderA M Vernava
Nov 1, 1994·Journal of Vascular Surgery·R Y RheeK J Cherry
Mar 1, 1997·Surgery·J KlempnauerR Pichlmayr
Apr 1, 1997·The Surgical Clinics of North America·J F McKinsey, B L Gewertz
Jan 15, 1998·Current Problems in Surgery·R A MontgomeryG B Bulkley
Mar 24, 1999·Archives of Surgery·M A Mansour
Jun 29, 2000·Journal of Vascular and Interventional Radiology : JVIR·D C LoomerC A DeMaioribus

Citations

Mar 13, 2009·European Journal of Nuclear Medicine and Molecular Imaging·Jan KissPirjo Nuutila
Nov 7, 2006·Cardiovascular and Interventional Radiology·Ramazan KutluKaya Sarac
Jul 1, 2011·Cardiovascular and Interventional Radiology·Johan GagnièreLouis Boyer
Sep 1, 2005·International Journal of Colorectal Disease·C ToensV Schumpelick
Jan 4, 2008·Langenbeck's Archives of Surgery·Woubet T KassahunJohann Hauss
Aug 3, 2010·Surgery Today·Xianzhi MengHongchi Jiang
Apr 23, 2005·Digestive Diseases and Sciences·Jeffrey A BaileyW E Longo
Mar 20, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·S Abu-DaffM Al-Shahed
Jan 6, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·S AcostaOlle Ekberg
Dec 18, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Anthony W CastleberryJohn Migaly
Oct 9, 2004·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·A Ziya AnadolErcüment H Tekin
May 23, 2006·Southern Medical Journal·Ali MofredjRaouf Douiri
Jun 21, 2003·BMJ : British Medical Journal·Jayaprakash Sreenarasimhaiah
May 11, 2012·American Journal of Nephrology·Szu-Yuan LiTzen-Wen Chen
May 17, 2014·World Journal of Gastroenterology : WJG·Shuo-Fei YangJie-Shou Li
Dec 27, 2011·Annals of African Medicine·Mubarak M Al-ShraimGaniyu A Rahman
Nov 13, 2013·Journal of Thrombosis and Thrombolysis·Ahmet CaliskanBinali Mavitas
Oct 10, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M ReichertA Hecker
Jul 26, 2006·World Journal of Surgery·Maria Asuncion Acosta-MeridaJuan Hernandez-Romero
Aug 13, 2009·World Journal of Surgery·Alice CenedeseXavier Barth
Mar 27, 2016·Critical Care Clinics·Thomas W CarverAmit Taneja
Jan 29, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J V T TilsedH Yanar
Nov 26, 2013·The Surgical Clinics of North America·Michael J Sise
Feb 14, 2013·Primary Care·Jose A Silva, Christopher J White
Mar 20, 2010·Seminars in Vascular Surgery·S Acosta
Mar 20, 2010·Seminars in Vascular Surgery·Mark C Wyers
Jan 9, 2009·Annals of Vascular Surgery·Joaquin Marchena-GomezJuan Hernandez-Romero
Oct 16, 2007·The Surgical Clinics of North America·Garth S Herbert, Scott R Steele
Sep 1, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M Björck
Feb 16, 2006·Journal of Internal Medicine·S AcostaM Björck
Nov 19, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michael T CudnikBrian C Hiestand
Jan 15, 2005·Journal of Cardiothoracic and Vascular Anesthesia·Corinne MerleDamien Jolly
Apr 4, 2009·Journal of Vascular Surgery·Christopher W SederPaul Bove
Mar 6, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·F AdabaJ Warusavitarne
Mar 24, 2015·World Journal of Emergency Surgery : WJES·Minsu NohKyu Yeol Kim
Mar 29, 2005·Annales Françaises D'anesthèsie Et De Rèanimation·B EspeelJ Vermonden
Apr 17, 2012·Journal of Vascular Surgery·Evan J RyerT C Bower
Dec 17, 2014·The Journal of Thoracic and Cardiovascular Surgery·Frederik H W JonkerSanti Trimarchi
Aug 14, 2012·International Journal of Surgery·Etem AlhanAkif Cinel
Jan 15, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T ReschK Ivancev
Apr 22, 2014·The Journal of Surgical Research·Barış R KarakaşMurat Canpolat
Jan 14, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S AcostaM Björck
Apr 25, 2003·Annals of Vascular Surgery·Bridget M Sanders, Michael C Dalsing
Apr 3, 2016·Vascular and Endovascular Surgery·Yang ZhaoGuangqi Chang
Jun 26, 2002·The British Journal of Surgery·M BjörckD Bergqvist
Jun 22, 2018·AJR. American Journal of Roentgenology·Pedro D M LourencoPatrick McLaughlin
Jul 16, 2015·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Kyu Sung ChoiJin Wook Chung
Feb 4, 2009·British Journal of Hospital Medicine·Ahmed N Assar, Christopher K Zarins
Nov 26, 2002·Hematology·Julie HambletonMarcel Levi
Apr 25, 2003·Vascular Medicine·T J ClevelandP A Gaines
Jul 29, 2017·Cardiovascular and Interventional Radiology·Giancarlo SalsanoFrancesco Santini

Related Concepts

Age Factors
Intestinal Diseases
Ischemia
Mesenteric Vascular Occlusion
Retrospective Studies
Thrombus
Tomography, X-Ray Computerized Axial
Survival Analysis

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