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Updated: Jun 22, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[Factors affecting mortality in acute mesenteric obstruction]
Ali Aktekin1, Seyfi Emir, Abdullah Sağlam
14th Department of General Surgery, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey. aliaktekin@turk.net
Acute mesenteric obstruction (AMO) is a fatal condition. Preoperative acidosis, elevated liver enzymes, and colonic involvement predict poor prognosis in AMO patients.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Emergency Medicine
Context:
- Acute mesenteric obstruction (AMO) presents a significant mortality risk.
- Understanding demographic and prognostic factors is crucial for patient management.
- Retrospective analysis of patients admitted between 2000-2004.
Purpose:
- To identify demographic characteristics of patients with AMO.
- To determine prognostic factors influencing mortality in AMO.
- To evaluate the efficacy of specific interventions in AMO.
Summary:
- Thirty patients (18 males, 12 females; mean age 67) diagnosed with AMO were evaluated.
- Survival rate was 43.3%.
- Factors associated with increased mortality included colonic involvement, acidosis (low pH), and elevated liver enzymes (ALT). Higher creatinine levels were observed in survivors.
Impact:
- Preoperative identification of acidosis, elevated liver enzymes, and colonic involvement can predict poor prognosis in AMO.
- Interventions such as papaverine infusion, embolectomy, and second-look operations did not demonstrate a survival benefit.
- Findings can inform clinical decision-making and risk stratification for acute mesenteric obstruction.
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