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Updated: Aug 2, 2026
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Survival after operations for ischaemic bowel disease
1Department of Community Medicine, Malmö University Hospital, University of Lund, Malmö, Sweden.
The European Journal of Surgery = Acta Chirurgica
|November 30, 2000
Summary
Advanced age and delayed surgery significantly increase mortality for patients with ischaemic bowel disease. Prompt surgical intervention improves survival rates in this critical condition.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Geriatric Medicine
Background:
- Ischaemic bowel disease presents a significant surgical challenge.
- Outcomes for patients undergoing surgery for this condition are often poor.
Purpose of the Study:
- To identify key factors influencing surgical outcomes in patients with ischaemic bowel disease.
- To assess the impact of age and surgical timing on patient survival.
Main Methods:
- Retrospective analysis of 74 patients undergoing emergency surgery for acute bowel ischaemia between 1987 and 1996.
- Data collected on patient demographics, surgical procedures, and outcomes (morbidity and mortality).
Main Results:
- Mortality rates were significantly higher in older patients (>84 years) compared to younger age groups.
- Delayed surgical intervention (over 6 hours from admission) was associated with poorer survival.
- Exploration alone due to extensive gangrene was more common in elderly patients.
Conclusions:
- Advanced age is a critical risk factor for mortality following surgery for ischaemic bowel disease.
- Increased incidence of unresectable gangrene observed in older patients.
- Timely surgical intervention is crucial for improving survival in acute bowel ischaemia.
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