Diagnosis and Treatment of Acute Mesenteric Ischemia: Clinical Analysis for 40 Cases of the Patients
Xiaoyun Li MD, PhD*, Xiaofeng Liao MD, PhD*
Affiliation : * Department of General Surgery, Xiangyang Central Hospital of Hubei Province, China
Objective : To explore the methods of diagnosis and treatment of the patients with acute mesenteric ischemia (AMI).
Material and Method: The present study took place at Department of General Surgery, Xiangyang Central Hospital of
Hubei Province, China between January 2002 and December 2013. The clinical data of 40 cases of AMI were analyzed.
Results : Among 40 cases of AMI, 38 had to surgical treatment and two had thrombolysis in superior mesenteric artery
(SMA) through interventional radiology. Twenty cases died; thus, overall mortality was 50%. Fifteen cases were subjected
to surgical or interventional therapy within 16 hours after onset, and all of them survived. Twenty-five cases were subjected
to surgical treatments over 16 hours after onset and five survived. There was significant difference between them (t = 3.4,
p = 0.0009).
Conclusion : The key point to improve survival rate of AMI was early diagnosis and treatment. In the process of treatment,
more attention should be paid on recovering blood supply of SMA, and the relationship between total excision of necrotic
intestine and reservation of functional intestine. The operation should be handled properly to reduce the possibility of short
bowel syndrome.
Keywords : Superior mesenteric artery, Acute ischemia, Diagnosis, Therapeutics
