[Acute mesenterial infarcts--results of surgical therapy]

Forty-five patients with mesenteric infarction documented by laparotomy or autopsy were reviewed. 35% of the patients had superior mesenteric artery occlusion by embolus, 27% by thrombosis, 11% had venous thrombosis, 9% nonocclusive mesenteric ischemia, and 18% were unclear. The mortality rate was 60% within half a year postoperatively. 22% had inoperable lesions, 46% underwent bowel resection, and 32% were managed by revascularization. In the group treated by bowel resection (n = 21) 30% died, in the group treated by revascularization 80% of the patients died.