Factors Determining the Prognosis of Acute Mesenteric Ischemia

Abstract

Objective: Acute mesenteric ischemia (AMI) is a fatal vascular pathological condition requiring urgent surgical intervention, where early diagnosis significantly affects the prognosis. The aim of this study was to investigate the preoperative, perioperative and postoperative factors affecting mortality in patients who were operated with the diagnosis of AMI. Methods: Patients who were operated with the diagnosis of AMI between January 2012 and January 2016 were evaluated. The patients were grouped as survivors (group 1) and non-survivors (group 2). Age, gender, concomitant disease history, clinical and laboratory findings, surgical treatment, the remaining bowel amount, short bowel syndrome, ileocecal valve intactness, ostomy opening status, the first 30-day mortality and morbidities were recorded. Results: Among group 1 and group 2, respectively there was no statistically significant difference in terms of age, gender, concomitant disease, remaining bowel amount, short bowel syndrome, providing total parenteral nutrition support, ileocecal valve intactness and opening ostomy (p>0.05). Hemodialysis was found to be a risk factor for mortality (p=0.020). Conclusion: AMI is a disease with high mortality, and prognostic factors that can predict pre-op and postoperative mortality are still being investigated. While it is observed that ileocecal valve intactness does not affect mortality, the preoperative urea and creatinine elevation and the need for postoperative hemodialysis may be a predictors of mortality.