Factors affecting surgical outcomes after superior mesenteric artery thromboembolism

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dc.authoridYuksel, Volkan/0000-0001-9518-2588
dc.contributor.authorYuksel, Volkan
dc.contributor.authorGuclu, Orkut
dc.contributor.authorYilmaz, Elif Cicek
dc.contributor.authorHuseyin, Serhat
dc.contributor.authorOzkara, Taha
dc.contributor.authorSezer, Yavuz Atakan
dc.contributor.authorCanbaz, Suat
dc.date.accessioned2024-06-12T11:00:13Z
dc.date.available2024-06-12T11:00:13Z
dc.date.issued2017
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: In this study, we aimed to evaluate the operative results of superior mesenteric artery thromboembolism and influential factors for mortality in patients undergoing surgery for acute mesenteric ischemia. Methods: Between January 2011 and December 2016, 28 consecutive patients (15 males, 13 females; mean age 71.2 +/- 10 years; range 48 to 89 years) diagnosed and operated for acute mesenteric ischemia were included in the study. The results of open revascularization procedures and influential factors for mortality were retrospectively analyzed. Results: Abdominal pain was the major complaint, followed by nausea and vomiting. The diagnosis was confirmed by computed tomography angiography and Duplex ultrasonography. Thromboembolectomy was performed in the majority of the patients, while autologous saphenous vein bypass and transposition were performed in eligible patients. Revascularization procedures prevented bowel resection in 10 patients. The mortality rate was 35.7% due to respiratory, renal, and cardiac pathologies. Postoperative respiratory failure and admission to hospital later than six hours after the onset of abdominal pain were identified as the factors affecting mortality. Conclusion: Our study results showed that postoperative respiratory failure and late admission after the onset of abdominal pain were associated with postoperative mortality, whereas intestinal resection requirement did not contribute to the mortality rates. Based on our study results, we suggest that exploratory laparotomy and thromboembolectomy are essential in evaluating the viability of the bowel and in continuation of the mesenteric perfusion.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2017.14466
dc.identifier.endpage585en_US
dc.identifier.issn1301-5680
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-85033370987en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage580en_US
dc.identifier.trdizinid287063en_US
dc.identifier.urihttps://doi.org/10.5606/tgkdc.dergisi.2017.14466
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/287063
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20755
dc.identifier.volume25en_US
dc.identifier.wosWOS:000418417300010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayinciliken_US
dc.relation.ispartofTurk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal Of Thoracic And Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEmbolectomyen_US
dc.subjectMesenteric Ischemiaen_US
dc.subjectSuperior Mesenteric Arteryen_US
dc.subjectIntestinal Ischemiaen_US
dc.subjectPrognostic-Factorsen_US
dc.subjectMortality-Ratesen_US
dc.subjectManagementen_US
dc.subjectOcclusionen_US
dc.subjectSurvivalen_US
dc.titleFactors affecting surgical outcomes after superior mesenteric artery thromboembolismen_US
dc.typeArticleen_US

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