The Surgical Management of Acute Mesenteric Ischemia - a Retrospective Study in a 2nd Grade Emergency Hospital

Florian Popa,Simona Bobic,Adrian Dorin Bordei

doi:10.31689/rmm.2019.26.3.129

Abstract

The Surgical Management of Acute Mesenteric Ischemia - a Retrospective Study in a 2nd Grade Emergency Hospital

Highlights

Acute mesenteric ischemia represents one of the most severe pathological entity that needs rapid diagnosis and initiation of treatment in order to reduce the mortality rate and the long-term morbidity
The aim of the present study is to evaluate the incidence, the morbidity and mortality rates and the therapeutic options for patients with acute mesenteric ischemia with or without transmural bowel infarction in the context of a 2nd grade clinical hospital, presenting the novel therapeutic options recommended by recently published international guidelines
The results were useful in identifying the patients with acute mesenteric ischemia with or without transmural bowel infarction that have been admitted in the General Surgery Department of „Sf

Summary

Introduction

Acute mesenteric ischemia represents one of the most severe pathological entity that needs rapid diagnosis and initiation of treatment in order to reduce the mortality rate and the long-term morbidity. Material and method: A monocentric, retrospective study that included 68 patients with acute mesenteric ischemia with or without bowel infarction has been undertaken within the General Surgery Department of the “Sfântul Pantelimon” Clinical Emergency Hospital from Bucharest, Romania, between January 2014 and January 2019, a 2nd grade hospital, according to the provisions of the Order of the Ministry of Public Health no. Results and conclusions: Acute mesenteric ischemia is associated with poor outcomes, high morbidity and mortality rates, making the early diagnosis and treatment initiation imperative in order to prevent severe complications, such as transmural bowel infarction, and, potentially decreasing the morbidity and mortality rates.

Objectives

Methods

Results

Conclusion