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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
Background:
Acute mesenteric obstruction (AMO) is usually fatal. This study was designed to demonstrate the demographic characteristics and prognostic factors of affected patients.
Methods:
The patients admitted to our emergency department and diagnosed as having AMO between January 2000 and December 2004 were investigated retrospectively. Their demographic characteristics, laboratory results, per-operative findings and mortality were investigated retrospectively.
Results:
Thirty patients (18 males, 12 females; mean age: 67 [26-92]) were evaluated. 43.3% of patients survived. Surviving patients had statistically significantly lower alanine aminotransferase (ALT) but also higher pH and creatinine levels (p=0.0027, 0.0004, 0.02). Colonic involvement also increased mortality (p<0.001). Papaverine infusion, embolectomy and second-look operations had no effect on outcome.
Conclusion:
Preoperatively increased liver enzymes, acidosis, and colonic involvement indicated poor prognosis. Papaverine infusion, embolectomy and second-look operations showed no advantages with respect to survival.
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