{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T17:12:17Z","timestamp":1760202737177,"version":"3.40.4"},"reference-count":0,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2017]]},"abstract":"<b><i>Background:<\/i><\/b> Chronic mesenteric ischemia (CMI) is a rare disease. Open treatment (OT) remains a valuable treatment option. We analyzed patient outcomes after OT and investigated health-related quality of life (HRQoL). <b><i>Methods:<\/i><\/b> Data were analyzed retrospectively. The investigation period was from January 1, 2001, to December 31, 2014. We investigated mortality and patency rates using Kaplan-Meier analysis. HRQoL was measured using a 36-item health survey. Various statistical methods were employed. <b><i>Results:<\/i><\/b> A total of 100 patients (celiac trunk [TC: <i>n<\/i> = 23], superior mesenteric artery [SMA: <i>n<\/i> = 26], or both [<i>n<\/i> = 51]) were included. Median follow-up was 5 \u00b1 35 months. One-year survival rate for TC was 75 \u00b1 11%, for SMA: 79 \u00b1 10%, and for both: 96 \u00b1 3%. TC 5-year survival was 75 \u00b1 11% (SMA: 57 \u00b1 16%: both: 80 \u00b1 8%). Obesity and the length of hospital stay were independently associated with patient survival (<i>p<\/i> < 0.05). Primary 1-year patency rate was 60 \u00b1 13% for TC (SMA: 86 \u00b1 10%; both: 71 \u00b1 8%) and secondary 1-year patency rate was 84 \u00b1 9% for TC (SMA: 100%; both: 79 \u00b1 7%). HRQoL was inferior compared to the German normative data (<i>p<\/i> < 0.05). <b><i>Conclusion:<\/i><\/b> CMI overlaps between gastrointestinal and vascular surgery. OT is safe, and simultaneous revascularization of the TC and the SMA does not affect mortality. Patients would not necessarily benefit from OT in terms of HRQoL.<\/jats:p>","DOI":"10.1159\/000464413","type":"journal-article","created":{"date-parts":[[2017,3,16]],"date-time":"2017-03-16T22:04:28Z","timestamp":1489701868000},"page":"340-349","source":"Crossref","is-referenced-by-count":9,"title":["Chronic Mesenteric Ischemia: Patient Outcomes Using Open Surgical Revascularization"],"prefix":"10.1159","volume":"34","author":[{"given":"Markus U.","family":"Wagenh\u00e4user","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvonne K.","family":"Meyer-Janiszewski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Dueppers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua M.","family":"Spin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Floros","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hubert","family":"Schelzig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mansur","family":"Duran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2017,3,17]]},"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/464413","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/464413","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/464413","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:33:47Z","timestamp":1745429627000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000464413"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2017,7,4]]}},"URL":"https:\/\/doi.org\/10.1159\/000464413","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.5242111","asserted-by":"subject"}]},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"type":"print","value":"0253-4886"},{"type":"electronic","value":"1421-9883"}],"subject":[],"published":{"date-parts":[[2017]]}}}