N Mamode1, I Pickford, P Leiberman. 1. Peripheral Vascular Unit, Glasgow Royal Infirmary, Scotland. nizam@mamode.demon.co.uk
Abstract
OBJECTIVE: To determine whether the prognosis of acute mesenteric ischaemia has changed over the past seven years. DESIGN: Retrospective study. SETTING: Teaching hospital, Scotland. SUBJECTS: 57 patients who presented to this hospital between January 1987 and December 1993 with acute mesenteric ischaemia. MAIN OUTCOME MEASURES: Morbidity, mortality and prognostic features. RESULTS: 46 of the 57 patients died. Only 18(32%) patients were accurately diagnosed before operation or death. Clinical presentation, white cell count, and serum amylase activity were not helpful in the diagnosis. Only 3 patients had mesenteric angiography, and none were given lytic agents or vasodilators. CONCLUSION: Mortality from acute mesenteric ischaemia has not changed during the past two decades and in the absence of an accurate diagnostic test is unlikely to do so.
OBJECTIVE: To determine whether the prognosis of acute mesenteric ischaemia has changed over the past seven years. DESIGN: Retrospective study. SETTING: Teaching hospital, Scotland. SUBJECTS: 57 patients who presented to this hospital between January 1987 and December 1993 with acute mesenteric ischaemia. MAIN OUTCOME MEASURES: Morbidity, mortality and prognostic features. RESULTS: 46 of the 57 patients died. Only 18(32%) patients were accurately diagnosed before operation or death. Clinical presentation, white cell count, and serum amylase activity were not helpful in the diagnosis. Only 3 patients had mesenteric angiography, and none were given lytic agents or vasodilators. CONCLUSION: Mortality from acute mesenteric ischaemia has not changed during the past two decades and in the absence of an accurate diagnostic test is unlikely to do so.
Authors: Ibrahim Aliosmanoglu; Mesut Gul; Murat Kapan; Zulfu Arikanoglu; Fatih Taskesen; Omer Basol; Mustafa Aldemir Journal: Int Surg Date: 2013 Jan-Mar
Authors: Tevfik Küçükkartallar; Murat Çakır; Ahmet Tekin; Mehmet Balasar; Adil Kartal; Hande Köksal; Bülent Erengül; Emin Türk Journal: Ulus Cerrahi Derg Date: 2016-10-27
Authors: William B Newton; Matthew J Sagransky; Jeanette S Andrews; Kimberly J Hansen; Matthew A Corriere; Philip P Goodney; Matthew S Edwards Journal: Am Surg Date: 2011-07 Impact factor: 0.688