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Cited by 202Abdominal vascular conditions and treatmentsIntestinal and Peritoneal AdhesionsGastrointestinal Bleeding Diagnosis and Treatment

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Survival in Nonocclusive Mesenteric Ischemia: Early Diagnosis by Multidetector Row Computed Tomography and Early Treatment With Continuous Intravenous High-dose Prostaglandin E1

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Mitsuyoshi, Akira, Obama, Kazutaka, Shinkura, Nobuhiko, Ito, Takashi, Zaima, Masazumi·2007·Annals of Surgery
DOI 10.1097/01.sla.0000263157.59422.76PMC PMC1933563
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Abstract

In Brief Objectives: The aim of the study was to establish a procedure for early diagnosis and treatment of nonocclusive mesenteric ischemia (NOMI). Background: NOMI has a high mortality rate, and early diagnosis and treatment are important for improving survival in patients with this condition. Methods: The subjects were 22 patients treated at our hospital over 13 years. Diagnostic criteria for NOMI were established based on the first 13 cases. In the 9 more recent cases, we performed abdominal contrast multidetector row computed tomography (MDCT) upon suspicion of NOMI based on these criteria. Imaging allowed definite diagnosis of NOMI, and continuous intravenous high-dose PGE1 administration was initiated immediately after diagnosis (dose, 0.01–0.03 μg/kg per min; mean administration period, 4.8 days). Results: Nine of the first 13 patients died of multiple organ failure associated with multiple intestinal necrosis. These cases suggested that NOMI may develop when 3 of the following 4 criteria are met after cardiovascular surgery or maintenance dialysis in elderly patients: symptoms of the ileus develop slowly from abdominal symptoms, such as an unpleasant abdominal feeling or pain; a requirement for catecholamine treatment; an episode of hypotension; and slow elevation of the serum transaminase level. In the 9 recent cases, definite diagnosis was made from spasm of the principal arteries in arterial volume rendering and curved planar reformation MDCT images. Early treatment with PGE1 prevented acute-stage NOMI in 8 of the 9 cases. Conclusions: Early diagnosis of NOMI is possible using the above criteria and MDCT, and initiation of PGE1 treatment may increase survival in patients with NOMI. Nonocclusive mesenteric ischemia (NOMI) has a high mortality rate, and early diagnosis and treatment are important for improving survival. Upon suspicion of NOMI, based on criteria reported here, diagnosis using abdominal contrast multidetector row computed tomography and immediate initiation of continuous intravenous high-dose prostaglandin E1 administration may increase survival in NOMI patients.

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Crossref · 10.1097/01.sla.0000263157.59422.76

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  1. Lock, 1995, Nonocclusive mesenteric ischemia., Hepatogastroenterology, 42, 234

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Metadata

Authors
Mitsuyoshi, A., Obama, K., Shinkura, N., Ito, T., & Zaima, M.
Affiliations
  • Mitsubishi Kyoto Hospital (JP)
  • Shiga Medical Center for Adults (JP)
Corresponding author
  • Mitsuyoshi, Akira
  • Obama, Kazutaka
  • Shinkura, Nobuhiko
  • Ito, Takashi
ORCID
Venue
Annals of Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2007-08
Volume
246
Issue
2
Pages
229-235
ISSN
0003-4932 (ISSN-L)
DOI
10.1097/01.sla.0000263157.59422.76
PMC
PMC1933563
OpenAlex
W2024216568
Cited by
202
References
10
Citations by year
2026: 5 · 2025: 6 · 2024: 12 · 2023: 8 · 2022: 11 · 2021: 17 · 2020: 9 · 2019: 9 · 2018: 13 · 2017: 16 · 2016: 13 · 2015: 15 · 2014: 15 · 2013: 11 · 2012: 12
FWCI
6.99
Type
journal article
Language
en
Open access
Locations
  • Annals of Surgery (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Surgery › Intestinal and Peritoneal Adhesions
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal Bleeding Diagnosis and Treatment
Keywords
nonocclusive mesenteric ischemia, early diagnosis, prostaglandin E1, multidetector computed tomography, intestinal necrosis, multiple organ failure, postoperative ileus, cardiovascular surgery, dialysis, diagnostic criteria, survival
MeSH terms
Aged, Aged, 80 and over, Alprostadil, Diagnosis, Differential, Dose-Response Relationship, Drug, Female, Follow-Up Studies, Humans, Infusions, Intravenous, Intestines, Ischemia, Male, Mesenteric Arteries, Middle Aged, Time Factors, Tomography, X-Ray Computed, Vasodilator Agents, Survival Rate, Treatment Outcome

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