Clinical Outcomes and Prognostic Factors After Surgery for Non-Occlusive Mesenteric Ischemia: a Multicenter Study
| Autor: | Hiroshi Saeki, Yoshihiko Maehara, Mitsuhiro Yasuda, Eiji Oki, Masaru Morita, Takafumi Yukaya, Satoshi Ida, Koji Ando, Yasue Kimura, Ken Shirabe, Kenji Taketani |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Colon medicine.medical_treatment Leukocyte Count Young Adult Ischemia Renal Dialysis White blood cell Humans Medicine Aspartate Aminotransferases Young adult Survival rate Aged Retrospective Studies Aged 80 and over business.industry Mortality rate Gastroenterology Alanine Transaminase Metabolic acidosis Retrospective cohort study Middle Aged Prognosis medicine.disease Surgery Survival Rate Treatment Outcome medicine.anatomical_structure Mesenteric ischemia Mesenteric Ischemia Preoperative Period Potassium Female Hemodialysis Acidosis business |
| Zdroj: | Journal of Gastrointestinal Surgery. 18:1642-1647 |
| ISSN: | 1873-4626 1091-255X |
| DOI: | 10.1007/s11605-014-2579-0 |
| Popis: | To date, no large-scale study has been undertaken to understand the clinical features of non-occlusive mesenteric ischemia (NOMI) after surgery. We thus performed a multicenter investigation to clarify the clinical outcomes and prognostic factors of NOMI. Clinical databases from 22 Japanese facilities were reviewed for evaluation of patients who received surgery for NOMI between 2004 and 2012. NOMI patients (n = 51) were divided into two groups: group I (n = 28) consisted of patients who survived, and group II (n = 23) consisted of patients who did not survived. Prognostic factors were compared between the two groups. NOMI surgery represented 0.04 % of the total number of operations performed in this time period. The overall mortality rate for NOMI surgery was 45 %. Hemodialysis was a significant negative prognostic factor (p = 0.027). Preoperative elevation of transaminases, potassium, and white blood cell count, as well as metabolic acidosis and colon ischemia was poor prognostic factors. The mean Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity (POSSUM) score of group I versus group II was 54.5 ± 3.6 and 85.2 ± 4.1, respectively (p |
| Databáze: | OpenAIRE |
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