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[Acute mesenteric artery occlusion--clinical aspects, therapy, prognosis]
Zentralblatt Fur Chirurgie
|January 1, 1985
Summary
Acute mesenteric artery occlusion has a high mortality rate, with 63.5% of surgical patients dying within 30 days. Early diagnosis and surgical intervention are crucial for improving outcomes in acute intestinal ischemia.
Area of Science:
- Vascular Surgery
- Gastrointestinal Surgery
- Critical Care Medicine
Context:
- Acute mesenteric artery occlusion is a surgical emergency with significant mortality.
- A 10-year retrospective review of 52 patients undergoing surgery for this condition was conducted.
- The study highlights the challenges in diagnosis and treatment of mesenteric ischemia.
Purpose:
- To analyze surgical outcomes for acute mesenteric artery occlusion.
- To identify factors influencing patient prognosis.
- To emphasize the importance of timely diagnosis and surgical management.
Summary:
- 52 patients (19 male, 33 female, mean age 73.0 years) underwent surgery for acute mesenteric artery occlusion over 10 years.
- Postoperative mortality within 30 days was 63.5% (33 patients).
- Surgical procedures included intestinal resection (21 small bowel, 6 with colon) and vascular interventions (16 cases), with a 'second look' operation in 5 patients.
Impact:
- Surgical intervention for acute mesenteric artery occlusion involves removing necrotic bowel and restoring blood flow.
- Early diagnosis and prompt operative treatment are essential for improving the prognosis of acute intestinal ischemia.
- The study underscores the critical need for rapid diagnosis and intervention to reduce mortality in mesenteric ischemia.