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[Prognostic factors in mesenteric infarct]

J P Ritz1, N Runkel, G Berger

  • 1Abteilung für Allgemein-, Gefäss- und Thoraxchirurgie, Universitätsklinikum Benjamin Franklin, FU Berlin.

Zentralblatt Fur Chirurgie
|January 1, 1997
PubMed
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Acute mesenteric ischemia (AMI) has a high mortality rate, especially in elderly patients. Early surgical intervention is crucial for improving survival rates in AMI patients, regardless of age.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Emergency Medicine

Context:

  • Acute mesenteric ischemia (AMI) is a surgical emergency with high morbidity and mortality.
  • A retrospective analysis of 141 AMI patients treated between 1979 and 1995.
  • The study examines patient demographics, causes of AMI, interventions, and outcomes.

Purpose:

  • To analyze the outcomes of surgical interventions for acute mesenteric ischemia.
  • To identify prognostic factors influencing mortality in AMI patients.
  • To emphasize the importance of timely surgical intervention.

Summary:

  • The study included 141 patients with AMI (median age 71.5 years), with arterial occlusions being the most common cause.
  • Surgical interventions included bowel resection, vascular procedures, or laparotomy alone.

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  • Overall mortality was 70.9%, with higher rates in patients over 70, primarily due to delayed treatment.

    • Impact:

    • Time to surgical intervention is the most critical modifiable prognostic factor for AMI survival.
    • Early diagnosis and surgical management can significantly improve patient outcomes.
    • Highlights the need for prompt evaluation and treatment in suspected AMI cases.