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    Acute Mesenteric Ischemia: a Disease Still Challenging Surgeons
    (Springer India, 2022) Beyaz, Metin Onur; Demir, Ibrahim; Omeroglu, Sinan; Ata, Emin Can
    Acute mesenteric ischemia is a medical emergency that has a high incidence of morbidity and mortality. The most effective way to reduce its consequences is to establish early diagnosis and revascularization. Here, we aimed to present our management and outcome. In this case series analysis, patients with acute mesenteric ischemia were examined from January 2013 to September 2018. Thromboembolectomy was applied by using a 2-3 French sized Fogarty catheter until the superior mesenteric artery flow was restored. Endarterectomy and saphenous vein patchplasty were preferred in atherosclerotic arteries. Nineteen patients were examined. Hypertension (63.2%) and atrial fibrillation (57.9%) were the most common seen comorbid factors. After embolectomy, arterial pulsation came back in 17 (89.5%) patients. Two patients had saphenous vein bypass due to the severe atherosclerosis of the mesenteric artery. Seven (36.8%) patients died on early postoperative period. Multiorgan failure developed in 2 (10.5%) patients. The survival rate was 42.1% in 46 SD17.3 months follow-up. Acute mesenteric ischemia has high mortality and morbidity because of the local and systemic effects of comorbid diseases and intestinal ischemia. The main goals of treatment should be maintaining body auto-regulation, establishing revascularization of the ischemic intestine and removing necrotic tissues.
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    Öğe
    Management of Nonocclusive Mesenteric Ischemia in Patients with Cardiac Failure
    (Forum Multimedia Publishing, Llc, 2022) Omeroglu, Sinan; Tanal, Mert; Beyaz, Metin Onur; Guven, Onur; Demir, Ibrahim; Gurbulak, Esin Kabul; Demir, Uygar
    Aim: This study aimed to evaluate the surgical procedures, outcomes, and prognostic factors in patients with ischemic heart disease who were operated on due to nonocclusive mesenteric ischemia (NOMI). Material and methods: This research contains all patients diagnosed with congestive heart failure and NOMI between January 2011 to January 2020. The patients who had angiography or CT that showed occlusion of more than 50% in any of the main branches of the mesenteric artery or patients who presented with symptoms in correlation with a total occlusion were excluded from the study. Patients who underwent coronary heart surgery but were not diagnosed with congestive heart failure and those with atrial fibrillation also were excluded from the study. Patients divided into two groups, according to a medical database. Results: A significant difference was found between the surviving and non-survivor groups in minutes, in terms of median time to segmenter intestinal resection (P = 0.042). Conclusion: An early diagnosis and surgical segmental intestinal resection before peritonitis worsens can be the key to better prognosis for NOMI patients.