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[Intestinal infarct in a geriatric patient]

A Pannella1, M Zambianchi

  • 1Dipartimento di Chirurgia, Ospedale S. Margherita, Università degli Studi, Pavia.

Minerva Chirurgica
|February 21, 1998
PubMed
Summary
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Intestinal infarction is a rare but serious condition, primarily affecting geriatric females. Surgical intervention, particularly thrombus excision, offers better outcomes than medical treatment or partial resection, though complications like short bowel can occur.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Geriatric Medicine

Context:

  • Intestinal infarction is a rare pathology with significant diagnostic and therapeutic challenges.
  • A 10-year retrospective analysis (1985-1995) identified 9 cases of intestinal infarction among 11,500 patients.
  • The study focuses on the epidemiology, treatment outcomes, and quality of life in patients with intestinal infarction.

Purpose:

  • To analyze the characteristics and outcomes of patients diagnosed with intestinal infarction.
  • To compare the effectiveness of different treatment modalities: medical management, thrombus excision, and partial intestinal resection.
  • To assess the long-term quality of life and complications associated with surgical interventions for intestinal infarction.

Summary:

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  • The study identified intestinal infarction in 0.07% of patients, predominantly affecting geriatric females (65-74 years old) with associated cardiopathies.
  • Surgical treatment, including thrombus excision (22.23%) and partial resection (44.45%), was employed in most cases, while medical treatment resulted in mortality.
  • Thrombus excision led to 100% patient wellbeing, whereas partial resection resulted in 25% wellbeing. Complications included short bowel syndrome and wound infections.

    • Impact:

    • Highlights the critical nature of intestinal infarction, emphasizing the need for timely diagnosis and effective therapeutic strategies.
    • Demonstrates superior outcomes and quality of life following thrombus excision compared to partial intestinal resection.
    • Underscores the poor prognosis associated with medical management and the importance of surgical intervention in improving patient survival and wellbeing.