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Cited by 126Abdominal vascular conditions and treatmentsAortic Thrombus and EmbolismRenal and Vascular Pathologies

Incidence of Acute Thrombo-Embolic Occlusion of the Superior Mesenteric Artery—A Population-based Study

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Acosta, S., Ögren, M., Sternby, N.-H., Bergqvist, D., Björck, M.·2004·European Journal of Vascular and Endovascular Surgery
DOI 10.1016/j.ejvs.2003.11.003
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Abstract

Objective To determine the incidence of acute thrombo-embolic occlusion of the superior mesenteric artery (AOSMA) in a population-based study.Material All clinical (n=23,446) and forensic (n=7569) autopsies performed in the city of Malmö between 1970 and 1982 (population 264,000-230,000 inhabitants). The autopsy rate was 87%.Methods Calculation of the incidence of AOSMA with intestinal gangrene in those autopsies coded for bowel ischaemia (997/23,446 clinical and 9/7569 forensic autopsies). The operative procedures performed in 1970, 1976 and 1982 were also analysed.Results Two forensic and 211 clinical autopsies demonstrated AOSMA with intestinal gangrene. Previous suspicion of intestinal ischaemia was noted in only 33%. Sixteen patients were operated. The cause-specific mortality was 6.0/1000 deaths. The incidence was 8.6/100,000 person years, increasing exponentially with age (p<0.001). Mortality was 93%.Conclusions The incidence and mortality of AOSMA is higher than previously reported from clinical series. There is seldom any suspicion of the diagnosis prior to death.

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Crossref · 10.1016/j.ejvs.2003.11.003

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  • The occurrence of acute mesenteric ischaemia increases with age.

    “Single studies indicate that the occurrence of AMI increases with age.”

    From Incidence and outcomes of acute mesenteric ischaemia: a systematic review and meta-analysis (2022) · cites this paper as [15]

  • The mean incidence of acute mesenteric ischaemia in the general population was 6.2 per 100 000 person years (95% CI 1.9 to 12.9).

    “The mean incidence of AMI was 6.2 (95% CI 1.9 to 12.9) per 100 000 person years.”

    From Incidence and outcomes of acute mesenteric ischaemia: a systematic review and meta-analysis (2022) · cites this paper as [15]

  • In the general population studies, the proportion of women among acute mesenteric ischaemia cases was 58.3% (95% CI 56.5 to 60.2).

    “The studies included in our analysis of the incidence in the general population, indicate a significantly higher proportion of women, at 58.3% (95% CI 56.5 to 60.2).”

    From Incidence and outcomes of acute mesenteric ischaemia: a systematic review and meta-analysis (2022) · cites this paper as [15]

  • In the Swedish population, occlusive arterial acute mesenteric ischaemia incidence increases dramatically with age, reaching 85.8 per 100 000 person years at age 80-84 years and 189.5 in those over 85 years.

    “Acosta et al showed that in Swedish population occlusive arterial AMI increases dramatically with age in both men and women, reaching 85.8 (95% CI 61.5 to 110.0) per 100 000 person years at age 80–84 years, and 189.5 (95% CI 145.1 to 233.9) in those over 85 years, respectively.”

    From Incidence and outcomes of acute mesenteric ischaemia: a systematic review and meta-analysis (2022) · cites this paper as [15]

  • The real mortality rate of acute mesenteric ischaemia is likely higher than observed because a substantial number of cases are diagnosed only at autopsy and autopsy rates are low.

    “The real mortality rate is likely higher, since a substantial number of AMI cases are diagnosed only at autopsy,15 17 and the autopsy rate in most studied countries is generally very low”

    From Incidence and outcomes of acute mesenteric ischaemia: a systematic review and meta-analysis (2022) · cites this paper as [15]

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Authors
Acosta, S., Ögren, M., Sternby, N.-H., Bergqvist, D., & Björck, M.
Affiliations
  • Blekingesjukhuset (SE)
  • Uppsala University Hospital (SE)
Corresponding author
Acosta, S.
ORCID
Venue
European Journal of Vascular and Endovascular Surgery
Publisher
Elsevier BV
Published
2004-02
Volume
27
Issue
2
Pages
145-150
ISSN
1078-5884 (ISSN-L)
DOI
10.1016/j.ejvs.2003.11.003
OpenAlex
W2004436199
Cited by
126
References
23
Citations by year
2026: 3 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 6 · 2021: 4 · 2020: 3 · 2019: 4 · 2018: 5 · 2017: 5 · 2016: 5 · 2015: 8 · 2014: 5 · 2013: 4 · 2012: 6
FWCI
4.79
Type
journal article
Language
en
Open access
Licence
Locations
  • European Journal of Vascular and Endovascular Surgery (publishedVersion)
  • PubMed (publishedVersion)
  • Lund University Publications (Lund University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Thrombus and Embolism
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal and Vascular Pathologies
Keywords
superior mesenteric artery, intestinal gangrene, intestinal ischemia, incidence, mortality, autopsy findings, forensic autopsy, age-related risk, Malmö
MeSH terms
Adult, Aged, Aged, 80 and over, Embolism, Female, Gangrene, Humans, Intestines, Ischemia, Male, Mesenteric Vascular Occlusion, Middle Aged, Sweden, Thrombosis, Incidence, Mesenteric Artery, Superior

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