Mesenteric venous thrombosis with transmural intestinal infarction: A population-based study
Open accessAbstract
Objective To determine the cause-specific mortality from and incidence of transmural intestinal infarction caused by mesenteric venous thrombosis (MVT) in a population-based study and to evaluate the findings at autopsy by evaluating autopsies and surgical procedures. Methods All clinical (n = 23,446) and forensic (n = 7569) autopsies performed in the city of Malmö between 1970 and 1982 (population 264,000 to 230,000) were evaluated. The autopsy rate was 87%. The surgical procedures were performed in 1970, 1976, and 1982. Autopsy protocols coded for intestinal ischemia or mesenteric vessel occlusion, or both, were identified in a database. In all, 997 of 23,446 clinical and 9 of 7,569 forensic autopsy protocols were analyzed. A 3-year sample of the surgical procedures, comprising 21.3% (11,985 of 56,251) of all operations performed during the entire study period, was chosen to capture trends of diagnostic and surgical activity. In a nested case-control study within the clinical autopsy cohort, four MVT-free controls, matched for gender, age at death, and year of death were identified for each fatal MVT case to evaluate the clinical autopsy findings. Results Four forensic and 23 clinical autopsies demonstrated MVT with intestinal infarction. Seven patients were operated on, of whom six survived. The cause-specific mortality ratio was 0.9:1000 autopsies. The incidence was 1.8/100,000 person years. At autopsy, portal vein thrombosis and systemic venous thromboembolism occurred in 2 of 3 and 1 of 2 of the cases, respectively. Obesity was an independent risk factor for fatal MVT (P =.021). Conclusions The estimated incidence of MVT with transmural intestinal infarction was 1.8/100,000 person years. Portal vein thrombosis, systemic venous thromboembolism and obesity were associated with fatal MVT.
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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 [16]
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 [16]
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- Authors
- Acosta, S., Ögren, M., Sternby, N.-H., Bergqvist, D., & Björck, M.
- Affiliations
- Skåne University Hospital (SE)
- Uppsala University Hospital (SE)
- Corresponding author
- Acosta, Stefan
- Venue
- Journal of Vascular Surgery
- Publisher
- Elsevier BV
- Published
- 2005-01
- Volume
- 41
- Issue
- 1
- Pages
- 59-63
- ISSN
- 0741-5214 (ISSN-L)
- OpenAlex
- W2138713217
- Cited by
- 96
- References
- 37
- Citations by year
- 2026: 2 · 2024: 4 · 2023: 5 · 2022: 7 · 2021: 7 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 9 · 2016: 3 · 2015: 6 · 2014: 2 · 2013: 4 · 2012: 3
- FWCI
- 5.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Vascular Surgery (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Internal Medicine › Venous Thromboembolism Diagnosis and Management
- Health Sciences › Medicine › Surgery › Vascular anomalies and interventions
- Keywords
- mesenteric vein thrombosis, intestinal ischemia, cause-specific mortality, incidence, portal vein thrombosis, obesity, risk factors, autopsy findings, Malmö
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Humans, Infarction, Intestines, Male, Mesenteric Vascular Occlusion, Mesenteric Veins, Middle Aged, Obesity, Case-Control Studies, Venous Thrombosis
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