Experience in the management of acute superior mesenteric artery ischemia.
- Author:
Lei WANG
1
;
Shi-jie XIN
;
Jian ZHANG
;
Xi-tong ZHANG
;
Dong YANG
;
Zan-song ZHANG
;
Zhi-quan DUAN
Author Information
- Publication Type:Journal Article
- MeSH: Acute Disease; Adult; Aged; Aged, 80 and over; Female; Follow-Up Studies; Humans; Male; Mesenteric Artery, Superior; Mesenteric Vascular Occlusion; diagnosis; therapy; Middle Aged; Prognosis; Retrospective Studies
- From: Chinese Journal of Surgery 2008;46(11):816-819
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the management of acute superior mesenteric artery (SMA) ischemia and to improve its prognosis.
METHODThe clinical data of 37 patients treated from January 1996 to August 2007 was retrospectively reviewed.
RESULTSOf the cases, 19 (51.4%) patients were diagnosed with acute SMA embolism, 15 (40.5%) with acute SMA thrombosis, 2 (5.4%) with spontaneous isolated dissection of SMA and 1 (2.7%) with SMA aneurysm. Nineteen (51.4%) patients were misdiagnosed in emergency. Eighteen (48.6%) patients died in the hospital, and most of them died of severe infection and multiple organ failure. Three cases of the survived 19 patients experienced severe complications (2 with short gut syndrome, 1 with cerebral hemorrhage). Nine cases were followed-up for a mean period of 15 months, and 5 died during that term.
CONCLUSIONSAcute SMA ischemia has multiple etiological factors. Early intervention can improve the prognosis.
