CoChat
Sign Up
Cited by 156Abdominal vascular conditions and treatmentsIntestinal and Peritoneal AdhesionsAppendicitis Diagnosis and Management

Acute occlusive mesenteric ischemia: surgical management and outcomes

Edwards, Matthew S., Cherr, Gregory S., Craven, Timothy E., Olsen, Amy W., Plonk, George W., Geary, Randolph L., Ligush, John L., Hansen, Kimberley J.·2003·Annals of Vascular Surgery
DOI 10.1007/s10016-001-0329-8
Open this paper in CoChat — free account

Abstract

Acute mesenteric ischemia secondary to arterial occlusion (AMI) remains a highly lethal condition. To examine recent trends in management and associated outcomes, we examined our institutional experience over a recent 10-year period. All patients treated for AMI between January 1990 and January 2000 were identified (76 patients, 77 cases) and their medical records examined. At presentation, 64% demonstrated peritonitis and 30% exhibited hypotension. The interval from symptom onset to treatment exceeded 24 h in 63% of cases. Etiology was mesenteric thrombosis in 44 patients (58%) and embolism in 32 patients (42%). Thirty-five patients (46%) had prior conditions placing them at high risk for the development of AMI including chronic mesenteric ischemia (n = 26) and inadequately anticoagulated chronic atrial fibrillation (n = 9). Surgical management consisted of exploration alone in 16 patients, bowel resection alone in 18 patients, and revascularization in 43 patients, including 28 who required concomitant bowel resection. Overall, intestinal necrosis was present in 81% of cases. Perioperative mortality was 62% and long-term parenteral nutrition (TPN) was required in 31% of survivors. Peritonitis (odds ratio [OR] 9.4, 95% confidence interval [CI] 1.6, 54.0; p = 0.012 and bowel necrosis (OR 10.4, CI 1.9, 56.3; p = 0.007) at presentation were independent predictors of death or survival dependent upon TPN. We conclude that AMI remains a highly lethal condition due in large part to advanced presentation and inadequate recognition and treatment of patients at high risk.

Integrity signals

Registry

Crossref · 10.1007/s10016-001-0329-8

Cites

29 of 29 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Edwards et al. reported a 62% perioperative mortality in 41 patients with acute mesenteric ischemia undergoing traditional revascularization.

    “Edwards et al 16 reviewed 41 patients with AMI undergoing traditional revascularization and two patients being treated with visceral angioplasty and stenting.They reported a 62% perioperative mortality.”

    From Revascularization for acute mesenteric ischemia (2012) · cites this paper as [16]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Edwards, M. S., Cherr, G. S., Craven, T. E., Olsen, A. W., Plonk, G. W., Geary, R. L., Ligush, J. L., & Hansen, K. J.
Affiliations
Wake Forest University Health Sciences (US)
Corresponding author
Hansen, Kimberley J.
ORCID
Venue
Annals of Vascular Surgery
Publisher
Elsevier BV
Published
2003-01
Volume
17
Issue
1
Pages
72-79
ISSN
0890-5096 (ISSN-L)
DOI
10.1007/s10016-001-0329-8
OpenAlex
W2147715732
Cited by
156
References
29
Citations by year
2026: 1 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 6 · 2021: 5 · 2020: 5 · 2019: 6 · 2018: 6 · 2017: 5 · 2016: 8 · 2015: 6 · 2014: 10 · 2013: 6 · 2012: 12
FWCI
8.79
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Annals of Vascular Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Surgery › Intestinal and Peritoneal Adhesions
  • Health Sciences › Medicine › Emergency Medicine › Appendicitis Diagnosis and Management
Keywords
acute mesenteric ischemia, arterial occlusion, mesenteric thrombosis, mesenteric embolism, bowel resection, mesenteric revascularization, intestinal necrosis, peritonitis, atrial fibrillation, anticoagulation, parenteral nutrition, perioperative mortality, mortality risk factors
MeSH terms
Adult, Aged, Embolism, Female, Humans, Male, Mesenteric Arteries, Mesenteric Vascular Occlusion, Middle Aged, Morbidity, Peritonitis, Retrospective Studies, Thrombosis, Vascular Surgical Procedures, Logistic Models, Treatment Outcome

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review