Our experience with the treatment of acute mesenterial ischemia

Czech version

Authors: J. Vokurka; J. Žák; M. Kábela; M. Veselý; J. Čierník
Authors‘ workplace: Přednosta: Prof. MUDr. Ivan Čapov, CSc. ; I. chirurgická klinika LF MU, Nemocnice u sv. Anny Brno
Published in: Prakt. Lék. 2007; 87(1): 43-45
Category: Of different specialties

Overview

Acute mesenterial ischemia (AMI) is a serious illness with a low incidence, but with a very high mortality (60 to 70 %). The aetiology of AMI is either primary (embolism, mesenterial vessel thrombosis, nonocclusive mesenterial ischemia) or secondary (mechanical obstruction – gut volvulus, intussusceptions, compression by a tumour, etc.). Whatever the origin of the illness, the pathological-clinical picture is always the same: intestinal ischemia with resulting necrosis. 43 patients with primary AMI have been treated at the First Surgical Department in Brno between 1994 and 2006. Patients with atrial fibrillation or myocardial infarction had a significantly higher prevalence of arterial mesenterial ischemia (p < 0, 05). Arterial mesenterial thrombosis was significantly higher in patients who smoked and who showed symptoms of hypertension and of abdominal angina (p < 0,05).

Key words:
acute mesenterial ischemia, surgery, treatment