Acute Mesenteric Ischemia: a Disease Still Challenging Surgeons

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dc.authoridDemir, Ibrahim/0000-0003-3813-922X
dc.authoridata, emin can/0000-0002-9997-9364
dc.contributor.authorBeyaz, Metin Onur
dc.contributor.authorDemir, Ibrahim
dc.contributor.authorOmeroglu, Sinan
dc.contributor.authorAta, Emin Can
dc.date.accessioned2024-09-18T19:50:20Z
dc.date.available2024-09-18T19:50:20Z
dc.date.issued2022
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractAcute 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.en_US
dc.identifier.doi10.1007/s12262-021-02932-w
dc.identifier.endpage435en_US
dc.identifier.issn0972-2068
dc.identifier.issn0973-9793
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85106433811en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage430en_US
dc.identifier.urihttps://doi.org/10.1007/s12262-021-02932-w
dc.identifier.urihttps://hdl.handle.net/20.500.12483/7370
dc.identifier.volume84en_US
dc.identifier.wosWOS:000652980100003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer Indiaen_US
dc.relation.ispartofIndian Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAcute mesenteric ischemiaen_US
dc.subjectArterial revascularizationen_US
dc.subjectSaphenous vein bypassen_US
dc.titleAcute Mesenteric Ischemia: a Disease Still Challenging Surgeonsen_US
dc.typeArticleen_US

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