J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1487KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 91(9): 1450-1452, 1990

Report on the annual meeting

RISK FACTORS IN PATIENTS WITH ACUTE MESENTERIC ISCHEMIA

Department of Surgery, St. Marianna University School of Medicine, Tokyo, Japan

Sunao Kubota, Mamoru Fukuda, Takao Ozasa, Masayuki Kimura, Shinichi Shimizu, Kenji Katayama, Hiromu Watanabe

Fifteen patients with acute mesenteric ischemia, 13 with occlusive mesenteric ischemia and 2 with non-occlusive, were analysed for risk factors. Their ages ranged 48 to 93 years with mean of 63 years. Their etiology of the acute occlusive mesenteric ischemia in 13 patients were arterial embolus in 8, arterial thrombosis in 1, arterial occlusion resulting from dissecting aneurysm in 1, venous thrombosis in 2 and unknown in 1.
Fourteen patients were operated upon. Ten of 14 patients underwent bowel resection. Embolectomy was carried out in 2 patients. In remaining 2 patients, exploratory laparotomy and colostomy were performed, respectively. Overall operative mortality rate was 57% (8/14). Significantly more deaths occurred in the groups which had (1) massive bowel resection, such as infarction of all small intestine and most of the small intestine with hemi-right or-left colon, (2) age over 70 years, (3) operation more than 30 hours after the onset of symptoms and (4) complication of myocardial infarction. Therefore, these four were the high risk factors.

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