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[Acute mesenteric ischemia. Analysis of 47 cases]
F Voltolini1, R Pricolo, G Naldini
1II Divisione di Chirurgia Generale, Ospedale Civile di Piacenza.
Minerva Chirurgica
|May 1, 1996
Summary
Early diagnosis and aggressive surgical intervention are crucial for acute mesenteric ischemia. Despite treatment, the study found a high overall mortality rate of 72% in surgical cases.
Area of Science:
- Vascular Surgery
- Gastrointestinal Surgery
- Abdominal Medicine
Background:
- Acute mesenteric ischemia (AMI) is a surgical emergency with high morbidity and mortality.
- Timely diagnosis and intervention significantly impact patient outcomes.
- Understanding clinic-etiopathogenetic factors is essential for effective management.
Purpose of the Study:
- To summarize surgical treatment outcomes for acute mesenteric ischemia.
- To correlate clinical and etiological factors with patient prognosis.
- To evaluate the effectiveness of early diagnosis and surgical management.
Main Methods:
- Retrospective analysis of 47 surgical cases of AMI over 13 years.
- Review of patient charts for clinic-etiopathogenetic data.
- Correlation of diagnostic and treatment strategies with outcomes.
Main Results:
- Early diagnosis and aggressive surgical treatment are associated with better prognosis.
- The overall mortality rate in the studied cohort was 72%.
- Angiographic work-up aids in accurate diagnosis and surgical planning.
Conclusions:
- Prompt diagnosis and aggressive surgical intervention are vital for AMI.
- High mortality underscores the severity of the condition.
- Early angiographic evaluation is recommended for optimal surgical planning.