Risk Factors Effecting Mortality in Acute Mesenteric Ischemia and Mortality Rates: A Single Center Experience
Open accessAbstract
The objective of this study is to discuss the effective factors on morbidity and mortality in patients who were operated on for acute mesenteric ischemia. Between 2006 and 2011, 95 patients, who underwent emergent surgery for acute mesenteric ischemia, were analyzed retrospectively. The study group consisted of 56 men (58.9%) and 39 women (41.1%), with an average age of 68.4 ± 14.4 years. Elapsed time between the onset of the symptoms and the surgical operation was less than 24 hours in 47 (49.5%) cases, and more than 24 hours in 48 cases (50.5%) (P < 0.001). Although all of the patients had intestinal necroses, colon involvement was seen in 38 patients, and mortality was higher in this group of patients (P < 0.001). Mortality rate was 42.1%. This was higher in older patients, those with increased leukocyte levels, increased elapsed time to laparotomy, and when the colon was involved.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
Risk factors for increased mortality in AMI include advanced age, leukocytosis, high arterial lactate level in the first 24 h of admission, metabolic acidosis, bandemia, sepsis, hypoxia, hyperamylasemia, intramural pneumatosis, elapsed time between onset of symptoms and surgery more than 24 h, colon involvement, hepatic and renal impairment and multi-organ failure.
“Risk factors for increased mortality include advanced age, leukocytosis, high arterial lactate level in the first 24 h of admission, metabolic acidosis, bandemia, sepsis, hypoxia, hyperamylasemia, intramural pneumatosis, elapsed time between onset of symptoms and surgery more than 24 h, colon involvement, hepatic and renal impairment and multi-organ failure[123-125].”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [123]
The Discussion (page not provided) identifies advanced age, high leukocyte levels, surgery more than 24 hours after symptom onset, and colon involvement as factors associated with increased mortality. The Results and Discussion say lactate, amylase, and measured liver and renal markers were not significantly associated with mortality; the paper does not establish the remaining listed conditions as mortality risk factors. (LLM, conf=0.90)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Acute Mesenteric Ischemia: A Clinical Review
Oldenburg, W. A., Lau, L. L., Rodenberg, T. J., Edmonds, H. J., & Burger, C. D. (2004) · Archives of Internal Medicine · doi:10.1001/archinte.164.10.1054 · Cited by 714 · 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
Kougias, P., Lau, D., El Sayed, H. F., Zhou, W., Huynh, T. T., & Lin, P. H. (2007) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2007.04.045 · Cited by 303 · see citing works
Acute Mesenteric Ischemia: The Challenge of Gastroenterology
Yasuhara, H. (2005) · Surgery Today · doi:10.1007/s00595-004-2924-0 · Cited by 301 · 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
Acute Mesenteric Ischemia: Diagnostic Approach and Surgical Treatment
Wyers, M. C. (2010) · Seminars in Vascular Surgery · doi:10.1053/j.semvascsurg.2009.12.002 · Cited by 259 · see citing works
Keat, S. (2012) · CRC Press eBooks · doi:10.1201/b13519-22 · Cited by 249 · see citing works
Mesenteric ischaemia: A multidisciplinary approach
Bradbury, A. W., Brittenden, J., McBride, K., & Ruckley, C. V. (1995) · Journal of British Surgery · doi:10.1002/bjs.1800821105 · Cited by 239 · see citing works
McKinsey, J. F., & Gewertz, B. L. (1997) · Surgical Clinics of North America · doi:10.1016/s0039-6109(05)70550-8 · Cited by 224 · see citing works
Aschoff, A. J., Stuber, G., Becker, B. W., Hoffmann, M. H. K., Schmitz, B. L., Schelzig, H., & Jaeckle, T. (2009) · Abdominal Imaging · doi:10.1007/s00261-008-9392-8 · Cited by 223 · see citing works
Surgical Management of Thrombotic Acute Intestinal Ischemia
Endean, E. D., Barnes, S. L., Kwolek, C. J., Minion, D. J., Schwarcz, T. H., & Mentzer, R. M. (2001) · Annals of Surgery · doi:10.1097/00000658-200106000-00010 · Cited by 209 · see citing works
HISTORY OF MESENTERIC ISCHEMIA
Boley, S. J., Brandt, L. J., & Sammartano, R. J. (1997) · Surgical Clinics of North America · doi:10.1016/s0039-6109(05)70548-x · Cited by 164 · 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
Failure to improve outcome in acute mesenteric ischaemia: seven-year review
Mamode, I. P. (1999) · The European Journal of Surgery · doi:10.1080/110241599750007054 · Cited by 154 · see citing works
ISCHEMIC BOWEL DISEASE IN THE ELDERLY
Greenwald, D. A., Brandt, L. J., & Reinus, J. F. (2001) · Gastroenterology Clinics of North America · doi:10.1016/s0889-8553(05)70190-4 · Cited by 108 · see citing works
Acute Mesenteric Ischemia – A Clinical Review
Awais, D. S. A. D. M. (2018) · Zenodo (CERN European Organization for Nuclear Research) · doi:10.5281/zenodo.1489195 · Cited by 103 · 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
Mesenteric Ischemia: Acute and Chronic
Chang, J. B., & Stein, T. A. (2003) · Annals of Vascular Surgery · doi:10.1007/s10016-001-0249-7 · Cited by 89 · see citing works
Intestinal ischemia: current treatment concepts
Renner, P., Kienle, K., Dahlke, M. H., Heiß, P., Pfister, K., Stroszczynski, C., Piso, P., & Schlitt, H. J. (2010) · Langenbeck s Archives of Surgery · doi:10.1007/s00423-010-0726-y · Cited by 72 · see citing works
Revascularisation of atherosclerotic mesenteric arteries: Experience in 90 consecutive patients
Christensen, M. G., Lorentzen, J. E., & Schroeder, T. V. (1994) · European Journal of Vascular Surgery · doi:10.1016/s0950-821x(05)80145-8 · Cited by 55 · see citing works
Carlos, R. C., Stanley, J. C., Stafford-Johnson, D., & Prince, M. R. (2001) · Academic Radiology · doi:10.1016/s1076-6332(03)80767-5 · Cited by 55 · see citing works
Die akute mesenteriale Ischämie: Resektion oder Rekonstruktion?
Eckstein, H.-H. (2003) · Der Chirurg · doi:10.1007/s00104-003-0630-x · Cited by 54 · see citing works
Kaleya, R. N., & Boley, S. J. (1995) · Critical Care Clinics · doi:10.1016/s0749-0704(18)30077-0 · Cited by 49 · 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
Mesenteric Ischemia: Still a Deadly Puzzle for the Medical Community
Stamatakos, M., Stefanaki, C., Mastrokalos, D. S., Arampatzi, H., Safioleas, P., Chatziconstantinou, C., Xiromeritis, C., & Safioleas, M. C. (2008) · The Tohoku Journal of Experimental Medicine · doi:10.1620/tjem.216.197 · Cited by 44 · see citing works
ABDOMINAL VASCULAR CATASTROPHES
Eldrup-Jørgensen, J., Hawkins, R. E., & Bredenberg, C. E. (1997) · Surgical Clinics of North America · doi:10.1016/s0039-6109(05)70619-8 · Cited by 35 · see citing works
Die akute mesenteriale Ischmie Resektion oder Rekonstruktion
Eckstein, H. (2003) · Cited by 29 · 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
Contrast‐enhanced sonography in the diagnosis of acute mesenteric ischemia: Case report
Giannetti, A., Biscontri, M., Randisi, P., Cortese, B., Minacci, C., & Stumpo, M. (2009) · Journal of Clinical Ultrasound · doi:10.1002/jcu.20657 · Cited by 19 · see citing works
Nonthasoot, B., Tullavardhana, T., Sirichindakul, B., Suphapol, J., & Nivatvongs, S. (2005) · PubMed · Cited by 18 · see citing works
Huang, H. (2003) · Academic Emergency Medicine · doi:10.1197/aemj.10.5.499-c · Cited by 17 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Schwartz LB, Gewertz BL. Mesenteric ischemia. Surg Clin North Am 1997;77:275-502
- Necefli A, Dolay K, Ar ikan Y, Gu ¨log ˘lu R, Karayay S, Hal ic i E et al. The effect of ceftriaxone on bacterial translocation in mesenteric ischemia. The Journal of Trauma & Emergency Surgery 1999;5(1):7-10
Cited by
Sorted by citations
ESTES guidelines: acute mesenteric ischaemia
Tilsed, J. V. T., Casamassima, A., Kurihara, H., Mariani, D., Martinez, I., Pereira, J., Ponchietti, L., Shamiyeh, A., al-Ayoubi, F., Barco, L. A. B., et al. (2016) · European Journal of Trauma and Emergency Surgery · doi:10.1007/s00068-016-0634-0 · Cited by 382 · 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
Ischemic bowel disease in 2021.
Ahmed, M. (2021) · World Journal of Gastroenterology · doi:10.3748/wjg.v27.i29.4746 · Cited by 77 · see citing works
Carver, T. W., Vora, R. S., & Taneja, A. (2016) · Critical Care Clinics · doi:10.1016/j.ccc.2015.11.001 · Cited by 58 · see citing works
Prognostic factors of acute mesenteric ischemia in ICU patients
Caluwaerts, M., Castanares-Zapatero, D., Laterre, P.-F., & Hantson, P. (2019) · BMC Gastroenterology · doi:10.1186/s12876-019-0999-8 · Cited by 56 · see citing works
Predictors of Mortality in Acute Mesenteric Ischemia: A Systematic Review and Meta-Analysis.
Sumbal, R., Ali Baig, M. M., & Sumbal, A. (2022) · Journal of Surgical Research · doi:10.1016/j.jss.2022.01.022 · Cited by 33 · see citing works
Lemma, A. N., Tolonen, M., Vikatmaa, P., Mentula, P., Vikatmaa, L., Kantonen, I., Leppäniemi, A., & Sallinen, V. (2019) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2019.01.002 · Cited by 31 · see citing works
Mortality and Delays of Management of Acute Mesenteric Ischemia: The Need of a Dedicated Program
Magnus, L., Lejay, A., Philouze, G., Chakfé, N., Collange, O., Thaveau, F., & Georg, Y. (2023) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2022.12.070 · Cited by 21 · see citing works
Wu, W., Liu, J., & Zhou, Z. (2020) · Emergency Medicine International · doi:10.1155/2020/1382475 · Cited by 20 · see citing works
“Four studies analyzed the predictive value of old age using a cut-off between 60 and 70 for short-term postoperative mortality in patients with AMI [2, 9, 20, 30].”
BackgroundAntibiotic 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
Colonic involvement in acute mesenteric ischemia: Prevalence, risk factors, and outcomes
Ksouri, A., Copin, P., Bonvalet, F., Bozi, L., Cazals-Hatem, D., Garzelli, L., Panis, Y., Weiss, E., Castier, Y., Bouhnik, Y., et al. (2022) · European Radiology · doi:10.1007/s00330-021-08318-6 · Cited by 14 · see citing works
Wu, W., He, J., Zhang, S., Zeng, C., & Wang, Q. (2023) · Scandinavian Journal of Gastroenterology · doi:10.1080/00365521.2022.2152289 · Cited by 13 · see citing works
- Authors
- Aliosmanoglu, I., Gul, M., Kapan, M., Arikanoglu, Z., Taskesen, F., Basol, O., & Aldemir, M.
- Affiliations
- Department of General Surgery, Medical Faculty, Dicle University, Diyarbakιr, Turkey
- Dicle University (TR)
- Venue
- International Surgery
- Publisher
- International College of Surgeons
- Published
- 2013
- Volume
- 98
- Issue
- 1
- Pages
- 76-81
- ISSN
- 0020-8868 (ISSN-L)
- 2520-2456
- PMC
- PMC3723155
- OpenAlex
- W2033426231
- Cited by
- 81
- References
- 31
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 3 · 2023: 6 · 2022: 10 · 2021: 11 · 2020: 10 · 2019: 12 · 2018: 4 · 2017: 2 · 2016: 7 · 2015: 3 · 2014: 3 · 2013: 1
- FWCI
- 4.60
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Surgery (publishedVersion)
- PubMed Central (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 › Intestinal and Peritoneal Adhesions
- Keywords
- acute mesenteric ischemia, mortality risk factors, intestinal necrosis, colonic involvement, leukocytosis, elderly patients, emergency surgery, postoperative mortality
- MeSH terms
- Adult, Aged, Aged, 80 and over, Colectomy, Colostomy, Emergencies, Female, Humans, Intestines, Ischemia, Male, Middle Aged, Retrospective Studies, Risk Factors, Vascular Diseases, Treatment Outcome, Mesenteric Ischemia
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
