Related Experiment Videos
[A clinical study on acute mesenteric arterial occlusion]
1Department of Surgery, Kurashiki Central Hospital, Okayama, Japan.
Nihon Geka Hokan. Archiv Fur Japanische Chirurgie
|March 1, 1994
Summary
Early diagnosis of superior mesenteric artery occlusion is crucial. Arterial blood gas analysis aids in identifying metabolic acidosis and large deficits, improving diagnostic accuracy for this critical condition.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Emergency Medicine
Background:
- Acute mesenteric arterial occlusion is a surgical emergency with high mortality.
- Prompt diagnosis and intervention are critical for patient survival.
Observation:
- Thirteen patients with acute superior mesenteric artery occlusion were analyzed.
- Initial symptoms varied, including sudden abdominal pain, vomiting, distension, and fatigue.
- Metabolic acidosis and large base deficit were consistent findings in diagnostic evaluations.
Findings:
- Arterial blood gas analysis proved reliable for early diagnosis of acute mesenteric arterial occlusion.
- Surgical intervention (laparotomy and bowel resection) was performed on eleven patients.
- Intra-arterial urokinase infusion and percutaneous catheter fragmentation of embolus were alternative treatments.
- Overall mortality in this series was 53.8%.
Implications:
- Early recognition of metabolic acidosis and base deficit is key for timely diagnosis.
- Minimally invasive techniques like percutaneous intervention show promise.
- Despite advancements, acute mesenteric arterial occlusion remains a condition with significant associated mortality.