Failure to improve outcome in acute mesenteric ischaemia: seven-year review
Abstract
OBJECTIVE: To determine whether the prognosis of acute mesenteric ischaemia has changed over the past seven years. DESIGN: Retrospective study. SETTING: Teaching hospital, Scotland. SUBJECTS: 57 patients who presented to this hospital between January 1987 and December 1993 with acute mesenteric ischaemia. MAIN OUTCOME MEASURES: Morbidity, mortality and prognostic features. RESULTS: 46 of the 57 patients died. Only 18(32%) patients were accurately diagnosed before operation or death. Clinical presentation, white cell count, and serum amylase activity were not helpful in the diagnosis. Only 3 patients had mesenteric angiography, and none were given lytic agents or vasodilators. CONCLUSION: Mortality from acute mesenteric ischaemia has not changed during the past two decades and in the absence of an accurate diagnostic test is unlikely to do so.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
Most series have not shown any improvement in mortality over the last two decades regardless of therapeutic approach.
“Moreover, most series have not shown any improvement in mortality over the last 2 decades, 3 regardless of the therapeutic approach applied.”
From Revascularization for acute mesenteric ischemia (2012) · cites this paper as [3]
Cites
Mesenteric duplex scanning: A blinded prospective study
Moneta, G. L., Lee, R. W., Yeager, R. A., Taylor, L. M., & Porter, J. M. (1993) · Journal of Vascular Surgery · doi:10.1016/0741-5214(93)90011-a · Cited by 283 · see citing works
(1977) · PubMed · Cited by 278 · see citing works
Grendell, J. H., & Ockner, R. K. (1982) · Gastroenterology · doi:10.1016/0016-5085(82)90028-2 · Cited by 228 · see citing works
A study of 136 patients with mesenteric infarction.
Ottinger, L. W., & Austen, W. G. (1967) · PubMed · Cited by 221 · see citing works
Angiographic Diagnosis of Mesenteric Arterial Vasoconstriction
Siegelman, S. S., Sprayregen, S., & Boley, S. J. (1974) · Radiology · doi:10.1148/112.3.533 · Cited by 190 · see citing works
New concepts in the management of emboli of the superior mesenteric artery.
Boley, S. J., Feinstein, F. R., Sammartano, R. J., Brandt, L. J., & Sprayregen, S. (1981) · PubMed · Cited by 163 · see citing works
Acute mesenteric ischemia: angiographic spectrum
Clark, R., & Gallant, T. (1984) · American Journal of Roentgenology · doi:10.2214/ajr.142.3.555 · Cited by 155 · see citing works
The Surgical Management of Acute Occlusion of the Superior Mesenteric Artery
Ottinger, L. W. (1978) · Annals of Surgery · doi:10.1097/00000658-197812000-00003 · Cited by 130 · see citing works
Superior Mesenteric Artery Embolism: Eighty-Two Cases
Batellier, J., & Kiény, R. (1990) · Annals of Vascular Surgery · doi:10.1007/bf02001363 · Cited by 127 · see citing works
Acute superior mesenteric ischaemia
Wilson, C., Gupta, R., Gilmour, D. G., & Imrie, C. W. (1987) · Journal of British Surgery · doi:10.1002/bjs.1800740417 · Cited by 116 · see citing works
Venous mesenteric infarction: A particular entity
Clavien, P., Dürig, M., & Harder, F. (1988) · British journal of surgery · doi:10.1002/bjs.1800750322 · Cited by 108 · see citing works
Acute mesenteric ischaemia: the continuing difficulty in early diagnosis
Heys, S. D., Brittenden, J., & Crofts, T. J. (1993) · Postgraduate Medical Journal · doi:10.1136/pgmj.69.807.48 · Cited by 102 · see citing works
Acute mesenteric ischemia: improved results--a retrospective analysis of ninety-two patients.
Levy, P. J., Krausz, M. M., & Manny, J. (1990) · PubMed · Cited by 95 · see citing works
Inderbitzi, R., Wagner, H. E., Seiler, C., Stirnemann, P., & Gertsch, P. (1992) · PubMed · Cited by 94 · see citing works
Revascularization in Treatment of Mesenteric Infarction
Bergan, J. J., Dean, R. R., Conn, J., & Yao, J. S. T. (1975) · Annals of Surgery · doi:10.1097/00000658-197510000-00008 · Cited by 84 · see citing works
Treatment of mesenteric infarction
Clavien, P., Muller, C., & Harder, F. (1987) · British journal of surgery · doi:10.1002/bjs.1800740628 · Cited by 74 · see citing works
Diagnosis and management of mesenteric infarction
Clavien, P.-A. (1990) · British journal of surgery · doi:10.1002/bjs.1800770602 · Cited by 68 · see citing works
Acute mesenteric ischemia: an aggressive diagnostic and therapeutic approach. 1991 Roussel Lecture.
Kaleya, R. N., & Boley, S. J. (1992) · PubMed · Cited by 62 · see citing works
The early diagnosis of massive acute intestinal ischaemia
Jamieson, W. G., Marchuk, S., Rowsom, J., & Durand, D. T. (1982) · British journal of surgery · doi:10.1002/bjs.1800691317 · Cited by 56 · see citing works
McBride, K. D., & Gaines, P. A. (1994) · CardioVascular and Interventional Radiology · doi:10.1007/bf00195513 · Cited by 54 · see citing works
Khodadadi, J. (1980) · Archives of Surgery · doi:10.1001/archsurg.1980.01380030061013 · Cited by 53 · see citing works
Evolution of our understanding of the pathophysiology of primary mesenteric venous thrombosis
Kitchens, C. S. (1992) · The American Journal of Surgery · doi:10.1016/0002-9610(92)90020-r · Cited by 50 · see citing works
Pj, L., Krausz, M. M., & Manny, J. (1990) · PubMed · Cited by 48 · see citing works
Local fibrinolysis for superior mesenteric artery thromboembolism
Boyer, L., Delorme, J. M., Alexandre, M., Boissier, A., Gimbergues, P., Glanddier, G., & Viallet, J. F. (1994) · CardioVascular and Interventional Radiology · doi:10.1007/bf00571538 · Cited by 31 · see citing works
Wilson, C., & Imrie, C. W. (1986) · Journal of British Surgery · doi:10.1002/bjs.1800730322 · Cited by 28 · see citing works
The spectrum of acute intestinal vascular failure: a collective review of 43 cases in Taiwan
Tsai, C., Kuo, Y., Chen, P., & Wu, C. (1990) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.1990.tb10115.x · Cited by 26 · see citing works
Marston, A. (1990) · BMJ · doi:10.1136/bmj.301.6762.1174 · Cited by 24 · see citing works
Corder, A. P., & Taylor, I. (1993) · Postgraduate Medical Journal · doi:10.1136/pgmj.69.807.1 · Cited by 23 · see citing works
An aggressive approach to acute superior mesenteric arterial ischaemia
Grace, P. A., Costa, M., Qureshi, A., Sheehan, S., Burke, P., & Bouchier-Hayes, D. (1993) · European Journal of Vascular Surgery · doi:10.1016/s0950-821x(05)80726-1 · Cited by 19 · see citing works
Lindblad, B., & Ho, H. (1987) · PubMed · Cited by 18 · see citing works
The diagnostic potential of some routine laboratory tests. off.
Bjørnestad, E., Lie, R., & Cw, J. (1994) · PubMed · Cited by 3 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Systematic review of survival after acute mesenteric ischaemia according to disease aetiology
Schoots, I. G., Koffeman, G. I., Legemate, D. A., Levi, M., & van Gulik, T. M. (2004) · Journal of British Surgery · doi:10.1002/bjs.4459 · Cited by 502 · see citing works
Contemporary management of acute mesenteric ischemia: Factors associated with survival
Park, W. M., Gloviczki, P., Cherry, K. J., Hallett, J. W., Bower, T. C., Panneton, J. M., Schleck, C., Ilstrup, D., Harmsen, W. S., & Noel, A. A. (2002) · Journal of Vascular Surgery · doi:10.1067/mva.2002.120373 · Cited by 463 · see citing works
Epidemiology of Mesenteric Vascular Disease: Clinical Implications
Acosta, S. (2010) · Seminars in Vascular Surgery · doi:10.1053/j.semvascsurg.2009.12.001 · Cited by 340 · see citing works
Arthurs, Z. M., Titus, J., Bannazadeh, M., Eagleton, M. J., Srivastava, S., Sarac, T. P., & Clair, D. G. (2011) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2010.09.049 · Cited by 285 · see citing works
The Diagnosis of Acute Mesenteric Ischemia: A Systematic Review and Meta-analysis
Cudnik, M. T., Darbha, S., Jones, J., Macedo, J., Stockton, S. W., & Hiestand, B. C. (2013) · Academic Emergency Medicine · doi:10.1111/acem.12254 · Cited by 275 · see citing works
Unchanged high mortality rates from acute occlusive intestinal ischemia: six year review
Kassahun, W. T., Schulz, T., Richter, O., & Hauss, J. (2008) · Langenbeck's Archives of Surgery · doi:10.1007/s00423-007-0263-5 · Cited by 262 · see citing works
Comparison of open and endovascular treatment of acute mesenteric ischemia
Beaulieu, R. J., Arnaoutakis, K. D., Abularrage, C. J., Efron, D. T., Schneider, E., & Black, J. H. (2014) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2013.06.084 · Cited by 222 · see citing works
Revascularization for acute mesenteric ischemia
Ryer, E. J., Kalra, M., Oderich, G. S., Duncan, A. A., Gloviczki, P., Cha, S., & Bower, T. C. (2012) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2011.12.017 · Cited by 188 · see citing works
Acosta, S., Ögren, M., Sternby, N.-H., Bergqvist, D., & Björck, M. (2005) · Annals of Surgery · doi:10.1097/01.sla.0000154269.52294.57 · Cited by 162 · see citing works
Identification of Risk Factors for Perioperative Mortality in Acute Mesenteric Ischemia
Acosta‐Merida, M. A., Marchena‐Gomez, J., Hemmersbach‐Miller, M., Roque‐Castellano, C., & Hernandez‐Romero, J. M. (2006) · World Journal of Surgery · doi:10.1007/s00268-005-0560-5 · Cited by 158 · see citing works
Acosta, S., & Björck, M. (2003) · European Journal of Vascular and Endovascular Surgery · doi:10.1053/ejvs.2002.1893 · Cited by 158 · see citing works
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 · Cited by 126 · see citing works
Incidence and outcomes of acute mesenteric ischaemia: a systematic review and meta-analysis
Tamme, K., Reintam Blaser, A., Laisaar, K.-T., Mändul, M., Kals, J., Forbes, A., Kiss, O., Acosta, S., Bjørck, M., & Starkopf, J. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-062846 · Cited by 112 · see citing works
Karampinis, I., Keese, M., Jakob, J., Stasiunaitis, V., Gerken, A., Attenberger, U., Post, S., Kienle, P., & Nowak, K. (2018) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-018-3855-1 · Cited by 104 · see citing works
Clinical Factors and Outcomes in Patients with Acute Mesenteric Ischemia in the Emergency Department
Huang, H.-H., Chang, Y.-C., Yen, D. H.-T., Kao, W.-F., Chen, J.-D., Wang, L.-M., Huang, C.-I., & Lee, C.-H. (2005) · Journal of the Chinese Medical Association · doi:10.1016/s1726-4901(09)70165-0 · Cited by 89 · see citing works
Aliosmanoglu, I., Gul, M., Kapan, M., Arikanoglu, Z., Taskesen, F., Basol, O., & Aldemir, M. (2013) · International Surgery · doi:10.9738/cc112.1 · Cited by 81 · see citing works
Planned second-look laparoscopy in the management of acute mesenteric ischemia
Yanar, H. (2007) · World Journal of Gastroenterology · doi:10.3748/wjg.v13.i24.3350 · Cited by 81 · see citing works
Adaba, F., Askari, A., Dastur, J., Patel, A., Gabe, S. M., Vaizey, C. J., Faiz, O., Nightingale, J. M. D., & Warusavitarne, J. (2015) · Colorectal Disease · doi:10.1111/codi.12938 · Cited by 77 · see citing works
Diagnostic pitfalls at admission in patients with acute superior mesenteric artery occlusion
Acosta, S., Block, T., Björnsson, S., Resch, T., Björck, M., & Nilsson, T. (2012) · The Journal of Emergency Medicine · doi:10.1016/j.jemermed.2011.03.036 · Cited by 65 · see citing works
A study on 107 patients with acute mesenteric ischemia over 30 years
Alhan, E., Usta, A., Çekiç, A., Saglam, K., Türkyılmaz, S., & Cinel, A. (2012) · International Journal of Surgery · doi:10.1016/j.ijsu.2012.07.011 · Cited by 63 · see citing works
Indications and procedures for second-look surgery in acute mesenteric ischemia
Meng, X., Liu, L., & Jiang, H. (2010) · Surgery Today · doi:10.1007/s00595-009-4140-4 · Cited by 62 · see citing works
Epidemiology and Prognostic Factors in Acute Superior Mesenteric Artery Occlusion
Acosta, S., Wadman, M., Syk, I., Elmståhl, S., & Ekberg, O. (2010) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-009-1130-1 · Cited by 57 · see citing works
Acute mesenteric ischemia: the importance of early surgical consultation
Eltarawy, I. G., Etman, Y. M., Zenati, M., Simmons, R. L., & Rosengart, M. R. (2009) · The American Surgeon™ · doi:10.1177/000313480907500305 · Cited by 55 · see citing works
Wadman, M., Block, T., Ekberg, O., Syk, I., Elmståhl, S., & Acosta, S. (2010) · Emergency Radiology · doi:10.1007/s10140-009-0828-4 · Cited by 52 · see citing works
Urine intestinal fatty acid-binding protein predicts acute mesenteric ischemia in patients
Salim, S. Y., Young, P. Y., Churchill, T. A., & Khadaroo, R. G. (2017) · Journal of Surgical Research · doi:10.1016/j.jss.2016.07.017 · Cited by 48 · see citing works
Surgery for mesenteric infarction: Prognostic factors associated with early death within 72 hours
Merle, C., Lepouse, C., De Garine, A., Frayssinet, N., Leymarie, F., Leon, A., & Jolly, D. (2004) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2004.08.011 · Cited by 47 · see citing works
Endovascular therapy for acute mesenteric ischemia: an NSQIP analysis
Branco, B. C., Montero-Baker, M. F., Aziz, H., Taylor, Z., & Mills, J. L. (2015) · The American Surgeon™ · doi:10.1177/000313481508101131 · Cited by 43 · see citing works
Andraska, E. A., Tran, L. M., Haga, L. M., Mak, A. K., Madigan, M. C., Makaroun, M. S., Eslami, M. H., & Chaer, R. A. (2022) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2021.11.040 · Cited by 41 · see citing works
Björck, M., Orr, N., & Endean, E. D. (2015) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2015.04.431 · Cited by 35 · see citing works
Tran, L. M., Andraska, E., Haga, L., Sridharan, N., Chaer, R. A., & Eslami, M. H. (2022) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2021.09.033 · Cited by 33 · see citing works
Orr, N. T., & Endean, E. D. (2015) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2015.04.026 · Cited by 18 · see citing works
McGinty, J. J., Hogle, N., & Fowler, D. L. (2003) · Surgical Endoscopy And Other Interventional Techniques · doi:10.1007/s00464-001-8255-y · Cited by 18 · see citing works
Antibiotic use in acute mesenteric ischemia: A review of the evidence and call to action
Tian, Y., Dhara, S., Barrett, C. D., Richman, A. P., & Brahmbhatt, T. S. (2023) · Thrombosis Journal · doi:10.1186/s12959-023-00486-3 · Cited by 17 · see citing works
Sgourakis, G., Papapanagiotou, A., Kontovounisios, C., Karamouzis, M. V., Lanitis, S., Konstantinou, C., Karaliotas, C., & Papavassiliou, A. G. (2013) · Experimental Biology and Medicine · doi:10.1177/1535370213494663 · Cited by 14 · see citing works
Clinical Presentation, Etiology, and Diagnostic Considerations
David, R. A., Erben, Y., & Kalra, M. (2015) · Mesenteric Vascular Disease · doi:10.1007/978-1-4939-1847-8_15 · Cited by 6 · see citing works
- Authors
- Mamode, I. P.
- Venue
- The European Journal of Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 1999-03-11
- Volume
- 165
- Issue
- 3
- Pages
- 203-208
- ISSN
- 1102-4151 (ISSN-L)
- OpenAlex
- W2167020577
- Cited by
- 154
- References
- 31
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 5 · 2020: 6 · 2019: 3 · 2018: 6 · 2017: 6 · 2016: 8 · 2015: 11 · 2014: 8 · 2013: 6 · 2012: 6
- FWCI
- 3.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The European Journal of Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Rheumatology › Omental and Epiploic Conditions
- Health Sciences › Medicine › Emergency Medicine › Appendicitis Diagnosis and Management
- Keywords
- acute mesenteric ischemia, mortality, prognosis, diagnostic accuracy, mesenteric angiography, serum amylase, white blood cell count, lytic agents, vasodilators, clinical features
- MeSH terms
- Acute Disease, Adult, Aged, Aged, 80 and over, Cause of Death, Female, Humans, Ischemia, Male, Mesenteric Arteries, Mesenteric Vascular Occlusion, Mesenteric Veins, Mesentery, Middle Aged, Retrospective Studies, Scotland, Thromboembolism, 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
