The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Normal Lactate and Unenhanced CT-Scan Result in Delayed Diagnosis of Acute Mesenteric Ischemia
Abstract
INTRODUCTION: To investigate the factors associated with a delayed diagnosis (DD) of acute mesenteric ischemia (AMI). METHODS: An observational cohort study from an intestinal failure center. The primary outcome was DD >24 hours. RESULTS: Between 2006 and 2015, 74 patients with AMI were included and 39 (53%) had a DD. Plasma lactate <2 mmol/L (odd ratio: 3.2; 95% confidence interval: 1.1–9.1; P = 0.03) and unenhanced computed tomography scan (odds ratio: 5.9; 95% confidence interval: 1.4–25.8; P = 0.01) were independently associated with DD. DISCUSSION: Suspicion of AMI should no longer be affected by normal plasma lactate levels and should prompt evaluation by a contrast-enhanced computed tomography-scan.
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“Indeed, in a retrospective cohort study of survivors from mesenteric infarction, a delayed diagnosis was more frequent when initial plasma lactate concentrations were < 2 mmol/L, suggesting that physicians might be misguided by such unremarkable lactate levels [15].”
From Improving clinical suspicion of acute mesenteric ischemia among patients with acute abdomen: A cross-sectional study from an intestinal stroke center (2023) · cites this paper as [15]
In the citing paper
“In addition, when clinical suspicion of AMI is not evoked, it may be underdiagnosed on computed tomography (CT) scans of the abdomen as a result of either an inappropriate IV contrast protocol and/or an analysis that does not focus on the mesenteric vessels [14, 15].”
From Improving clinical suspicion of acute mesenteric ischemia among patients with acute abdomen: A cross-sectional study from an intestinal stroke center (2023) · cites this paper as [15]
Citations
Cites
Multiple Organ Dysfunction Score
Marshall, J. C., Cook, D. J., Christou, N. V., Bernard, G. R., Sprung, C. L., & Sibbald, W. J. (1995) · Critical Care Medicine · doi:10.1097/00003246-199510000-00007 · Cited by 2,539
AGA technical review on intestinal ischemia
Brandt, L. J., & Boley, S. J. (2000) · Gastroenterology · doi:10.1016/s0016-5085(00)70183-1 · Cited by 594
Clair, D. G., & Beach, J. M. (2016) · New England Journal of Medicine · doi:10.1056/nejmra1503884 · Cited by 589
Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery
Bala, M., Kashuk, J., Moore, E. E., Kluger, Y., Biffl, W., Gomes, C. A., Ben-Ishay, O., Rubinstein, C., Balogh, Z. J., Civil, I., et al. (2017) · World Journal of Emergency Surgery · doi:10.1186/s13017-017-0150-5 · Cited by 574
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
Nuzzo, A., Maggiori, L., Ronot, M., Becq, A., Plessier, A., Gault, N., Joly, F., Castier, Y., Vilgrain, V., Paugam, C., et al. (2017) · American Journal of Gastroenterology · doi:10.1038/ajg.2017.38 · Cited by 233
Self-citationCorcos, O., Castier, Y., Sibert, A., Gaujoux, S., Ronot, M., Joly, F., Paugam, C., Bretagnol, F., Abdel–Rehim, M., Francis, F., et al. (2013) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2012.10.027 · Cited by 142
Self-citationLehtimäki, T. T., Kärkkäinen, J. M., Saari, P., Manninen, H., Paajanen, H., & Vanninen, R. (2015) · European Journal of Radiology · doi:10.1016/j.ejrad.2015.09.006 · Cited by 104
ACR appropriateness criteria® imaging of mesenteric ischemia
Ginsburg, M., Obara, P., Lambert, D. L., Hanley, M., Steigner, M. L., Camacho, M. A., Chandra, A., Chang, K. J., Gage, K. L., Peterson, C. M., et al. (2018) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2018.09.018 · Cited by 99
Plasma biomarkers for early diagnosis of acute intestinal ischemia
Powell, A., & Armstrong, P. (2014) · Seminars in Vascular Surgery · doi:10.1053/j.semvascsurg.2015.01.008 · Cited by 60
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Elkrief, L., Hernández–Gea, V., Senzolo, M., Albillos, A., Baiges, A., Berzigotti, A., Bureau, C., Murad, S. D., Gottardi, A. D., Durand, F., et al. (2024) · The Lancet. Gastroenterology & hepatology · doi:10.1016/s2468-1253(24)00155-9 · Cited by 93
Self-citationGarzelli, L., Ben Abdallah, I., Nuzzo, A., Zappa, M., Corcos, O., Dioguardi Burgio, M., Cazals-Hatem, D., Rautou, P.-E., Vilgrain, V., Calame, P., et al. (2023) · The British Journal of Radiology · doi:10.1259/bjr.20230232 · Cited by 40
Self-citationCalame, P., Winiszewski, H., Doussot, A., Malakhia, A., Grillet, F., Verdot, P., Vuitton, L., Ronot, M., Pili-Floury, S., Heyd, B., et al. (2021) · American Journal of Gastroenterology · doi:10.14309/ajg.0000000000001274 · Cited by 34
Self-citationTran, 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
A clinical approach to acute mesenteric ischemia
Reintam Blaser, A., Acosta, S., & Arabi, Y. M. (2021) · Current Opinion in Critical Care · doi:10.1097/mcc.0000000000000802 · Cited by 33
Metadata
- Authors
- Nuzzo, A., Joly, F., Ronot, M., Castier, Y., Huguet, A., Paugam-Burtz, C., Cazals-Hatem, D., Tran-Dinh, A., Becq, A., Panis, Y., Bouhnik, Y., Maggiori, L., Corcos, O., & on behalf of the SURVI group
- Affiliations
- Université Paris Cité (FR)
- Assistance Publique – Hôpitaux de Paris (FR)
- University of Paris, Paris, France;
- Corresponding author
- Nuzzo, Alexandre
- ORCID
- Venue
- American Journal of Gastroenterology
- Published
- 2020-08-26
- Volume
- 115
- Issue
- 11
- Pages
- 1902-1905
- ISSN
- 0002-9270 (ISSN-L)
- 1572-0241
- OpenAlex
- W3080285033
- Cited by
- 28
- References
- 15
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 6 · 2022: 8 · 2021: 5 · 2020: 1
- FWCI
- 4.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Emergency Medicine › Appendicitis Diagnosis and Management
- Health Sciences › Medicine › Surgery › Omental and Epiploic Conditions
- Keywords
- acute mesenteric ischemia, delayed diagnosis, plasma lactate, unenhanced computed tomography, contrast-enhanced CT, intestinal failure
- MeSH terms
- Acute Disease, Adult, Anastomosis, Surgical, Chronic Disease, Colon, Contrast Media, Female, Humans, Intestine, Small, Jejunostomy, Male, Middle Aged, Retrospective Studies, Risk Factors, Short Bowel Syndrome, Tomography, X-Ray Computed, Vomiting, Cohort Studies, Abdominal Pain, Lactic Acid, Early Diagnosis, Delayed Diagnosis, Early Medical Intervention, Mesenteric Ischemia
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