Surgical Management of Thrombotic Acute Intestinal Ischemia

Content Provider	Scilit
Author	Duchesne, Juan C.
Copyright Year	2019
Description	To evaluate the University of Kentucky experience in treating acute intestinal ischemia to elucidate factors that contribute to survival. Acute intestinal ischemia is reported to have a poor prognosis, with survival rates ranging from 0% to 40%. This is based on several reports, most of which were published more than a decade ago. Remarkably, there is a paucity of recent studies that report on current outcome for acute mesenteric ischemia. A comparative retrospective analysis was performed on patients who were diagnosed with acute intestinal ischemia between May 1993 and July 2000. Patients were divided into two cohorts: nonthrombotic and thrombotic causes. The latter cohort was subdivided into three etiologic subsets: arterial embolism, arterial thrombosis, and venous thrombosis. Patient demographics, clinical characteristics, risk factors, surgical procedures, and survival were analyzed. Survival was compared with a collated historical series. Acute intestinal ischemia was diagnosed in 170 patients. The etiologies were nonthrombotic (102/170, 60%), thrombotic (58/170, 34%), or indeterminate (10/170, 6%). In the thrombotic cohort, arterial embolism accounted for 38% (22/58) of the cases, arterial thrombosis for 36% (21/58), and venous thrombosis for 26% (15/58). Patients with venous thrombosis were younger. Venous thrombosis was observed more often in men; arterial thrombosis was more frequent in women. The survival rate was 87% in the venous thrombosis group versus 41% and 38% for arterial embolism and thrombosis, respectively. Compared with the collated historical series, the survival rate was 52% versus 25%. These results indicate that the prognosis for patients with acute intestinal ischemia is substantially better than previously reported. Book Name: 50 Landmark Papers
Related Links	https://content.taylorfrancis.com/books/download?dac=C2018-0-84412-3&isbn=9780429316944&doi=10.1201/9780429316944-16&format=pdf
Ending Page	50
Page Count	2
Starting Page	49
DOI	10.1201/9780429316944-16
Language	English
Publisher	Informa UK Limited
Publisher Date	2019-11-26
Access Restriction	Open
Subject Keyword	Book Name: 50 Landmark Papers Survival Rate Acute Intestinal Ischemia
Content Type	Text
Resource Type	Chapter