Acute Mesenteric Ischemia: Clinical Experience

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dc.contributor.authorAslan, Ahmet
dc.contributor.authorTemiz, Muhyittin
dc.contributor.authorSemerci, Ersan
dc.contributor.authorOzkan, Orhan Veli
dc.contributor.authorYetim, Ibrahim
dc.contributor.authorFansa, Iyad
dc.contributor.authorBeyaz, Fikret
dc.date.accessioned2024-09-18T20:32:46Z
dc.date.available2024-09-18T20:32:46Z
dc.date.issued2009
dc.departmentHatay Mustafa Kemal Ãœniversitesien_US
dc.description.abstractBACKGROUND: Acute mesenteric ischemia (AMI) is a life threatening vascular emergency which requires prompt diagnosis and treatment. The prevention of this cause of high mortality and morbidity depends on early clinical suspicion end timely intervention. In the present study we aimed to analyze the acute mesenteric ischemia cases treated in Mustafa Kemal University Department of General Surgery between January 2004 and December 2008. MATERIAL/METHODS: The clinic records of all the patients who underwent surgical treatment for AMI between January 1, 2004, and December 2008, were retrospectively reviewed. The data from operative records, postoperative complications, mortality, and hospital stay were recorded. RESULTS: The study group included 18 patients. Mean age was 69. There was comorbidity in all patients and cardiac disease and hypertension were the most common ones. The most common laboratory abnormalities were leukocytes, hypoalbuminemia, hyperamylasemia. There was superiorly vascular necrosis in 16 patients; inferior vascular necrosis in one patient. One patient had non occlusive mesenteric ischemia. Segmentery resection was performed to 13 patients. Abdominoperineal resection was performed to the patient with inferior mesenter artery occlusion. We performed duodenotransversostomy on two patients and only laparotomy on two patients. Re-operation was required in 5 patients. Causes of death were multiorgan insufficiency in 7 cases, cardiac death in 2 cases. One patient died due to short intestine syndrome. CONCLUSION: Acute mesenteric ischemia is highly mortal emergency which should always be suspected in elderly patients with cardiac disease suffering from abdominal pain.en_US
dc.identifier.doi10.4170/JAEM.2009.46320
dc.identifier.endpage32en_US
dc.identifier.issn2149-5807
dc.identifier.issn2149-6048
dc.identifier.issue4en_US
dc.identifier.startpage28en_US
dc.identifier.urihttps://doi.org/10.4170/JAEM.2009.46320
dc.identifier.urihttps://hdl.handle.net/20.500.12483/11100
dc.identifier.volume8en_US
dc.identifier.wosWOS:000420105400006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isotren_US
dc.publisherAvesen_US
dc.relation.ispartofEurasian Journal of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMesenteric ischemiaen_US
dc.subjectmortalityen_US
dc.subjectabdominal painen_US
dc.titleAcute Mesenteric Ischemia: Clinical Experienceen_US
dc.typeArticleen_US

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