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This study aimed to analyse risk factors and outcome of patients suffering from postoperative CI.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Data of 1404 patients who underwent aortic surgery were retrospectively analysed regarding CI occurrence. Co-morbidities, procedural parameters, colon blood supply, procedure-related morbidity and mortality as well as survival during follow-up (FU) were compared with patients without CI using matched-pair analysis (1:3).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Thirty-five patients (2.4%) with CI were identified. Cardiovascular, pulmonary and renal comorbidity were more common in CI patients. Operation time was longer (283 \u00b1 22 vs. 188 \u00b1 7 min, <jats:italic>p<\/jats:italic> &lt; 0.0001) and blood loss was higher (2174 \u00b1 396 vs. 1319 \u00b1 108 ml, <jats:italic>p<\/jats:italic> = 0.0049) in the CI group. Patients with ruptured abdominal aortic aneurysm (AAA) showed a higher rate of CI compared to patients with intact AAA (5.4 vs. 1.9%, <jats:italic>p<\/jats:italic> = 0.0177). CI was predominantly diagnosed by endoscopy (26\/35), generally within the first 4 postoperative days (20\/35). Twenty-eight patients underwent surgery, all finalised with stoma creation. Postoperative bilateral occlusion and\/or relevant stenosis of hypogastric arteries were more frequent in CI patients (57.8 vs. 20.8%, <jats:italic>p<\/jats:italic> = 0.0273). In-hospital mortality was increased in the CI group (26.7 vs. 2.9%, <jats:italic>p<\/jats:italic> &lt; 0.0001). Survival was significantly reduced in CI patients (median: 28.2 months vs. 104.1 months, <jats:italic>p<\/jats:italic> &lt; 0.0001).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>CI after aortic surgery is associated with considerable perioperative sequelae and reduced survival. Especially in patients at risk, such as those with rAAA, complicated intraoperative course, severe cardiovascular morbidity and\/or perioperative deterioration of the hypogastric perfusion, vigilant postoperative multimodal monitoring is required in order to initiate diagnosis and treatment.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00423-020-01964-2","type":"journal-article","created":{"date-parts":[[2020,8,21]],"date-time":"2020-08-21T20:02:15Z","timestamp":1598040135000},"page":"1031-1038","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Outcome analysis and risk factors for postoperative colonic ischaemia after aortic surgery"],"prefix":"10.1007","volume":"405","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2115-3666","authenticated-orcid":false,"given":"Dmitriy I.","family":"Dovzhanskiy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz S.","family":"Bischoff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher D.","family":"Wilichowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabian","family":"Rengier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Klempka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dittmar","family":"B\u00f6ckler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,8,21]]},"reference":[{"issue":"4","key":"1964_CR1","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1002\/bjs.5710","volume":"94","author":"PJ Holt","year":"2007","unstructured":"Holt PJ, Poloniecki JD, Gerrard D, Loftus IM, Thompson MM (2007) Meta-analysis and systematic review of the relationship between volume and outcome in abdominal aortic aneurysm surgery. 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The study was approved by the Ethics Committee of the Medical Faculty of Heidelberg (protocol number: S-110\/2012).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}