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Prognostic factors in intestinal gangrene
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|January 1, 1989
Summary
This study on intestinal gangrene in Nigeria found herniae as the leading cause. Key prognostic factors for survival include pre-operative shock and peritonitis, highlighting the need for intensive care in high-risk patients.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Public Health
Background:
- Intestinal gangrene is a critical surgical emergency with significant mortality.
- Understanding its causes and prognostic factors is vital for improving patient outcomes.
- This study examines a decade of intestinal gangrene cases in Ile-Ife, Nigeria.
Purpose of the Study:
- To identify the primary causes of intestinal gangrene in the studied population.
- To determine the key prognostic factors influencing patient survival.
- To recommend strategies for managing high-risk patients.
Main Methods:
- Retrospective analysis of 103 patients treated for intestinal gangrene over ten years.
- Data collection included patient demographics, causes of gangrene, pre-operative conditions, and outcomes.
- Statistical analysis to identify significant prognostic indicators.
Main Results:
- Herniae were the predominant cause (63%), followed by intussusception (20%).
- Pre-operative shock, purulent/faeculent peritonitis, bowel perforation, and extensive gangrene were significant negative prognostic factors.
- Age, sex, symptom duration, and bowel segment involved did not correlate with outcomes.
Conclusions:
- Hernia is the leading cause of intestinal gangrene in this Nigerian cohort.
- Aggressive management and intensive care are crucial for patients presenting with adverse prognostic factors.
- Early recognition of high-risk indicators can improve survival rates.