{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:02:15Z","timestamp":1792083735804,"version":"4.4.0"},"reference-count":8,"publisher":"Index Copernicus","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2020,12,28]]},"abstract":"<b>Background:<\/b> Acute mesenteric ischaemia (AMI) is a catastrophic abdominal emergency characterized by sudden critical interruption to the intestinal blood flow which commonly leads to bowel infarction and death. AMI still has a poor prognosis with an in-hospital mortality rate of 50-69 %. This high mortality rate is related to the delay in diagnosis which is often diffucult and overlooked. Early intervention is crucial and the potential for intestinal viability. <br><b>Methods:<\/b> The charts of 140 patients who were hospitalazed with AMI between May 1997 and August 2013 in Ege University Faculty of Medicine, department of general surgery were retrospectively reviewed. Demographical and clinical features of patients determining the best predictors which effect on morbidity and mortality were evaluated by Multiple Logistic Regression analysis by Enter method after adjustment for all possible confounding factors. <br><b>Results:<\/b> After Multiple LR analysis by Enter method after adjustment for all possible confounding factors affecting morbidity; shock, exploration and stay in hospital were statistically significant. Age, cardiac comorbidities, ASA scores, the time delay between onset of acute abdominal pain to surgery, the presence of acidosis and shock, the involved organs (small bowel and both), type of surgery and medical treatment and small bowel length under 100 cm were statistically significant on mortality. <br><b>Conclusion:<\/b> Risk factors related to mortality and morbidity have been poorly analyzed due to lack of prospective studies and smaller number of patients. Early diagnosis generally depends on clinical awareness and suspicion. Age and time of delay between onset of acute abdominal pain to surgery longer than 24 hours are the most important parameters that predict the mortality for patients presenting with shock and acidosis.\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0014.5824","type":"journal-article","created":{"date-parts":[[2021,3,17]],"date-time":"2021-03-17T10:19:07Z","timestamp":1615976347000},"page":"25-33","source":"Crossref","is-referenced-by-count":8,"title":["Prognostic factors in acute mesenteric ischemia and\nevaluation with multiple logistic regression analysis\neffecting morbidity and mortality"],"prefix":"10.5604","volume":"93","author":[{"given":"Safak","family":"Ozturk","sequence":"first","affiliation":[{"name":"Izmir Economy University Medical Park Izmir Hospital,Department of General Surgery, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mutlu","family":"Unver","sequence":"additional","affiliation":[{"name":"Izmir Economy University Medical Park Izmir Hospital,Department of General Surgery, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Ozdemir","sequence":"additional","affiliation":[{"name":"Ege University Faculty of Medicine, Department of General Surgery, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osman","family":"Bozb\u0131y\u0131k","sequence":"additional","affiliation":[{"name":"Ege University Faculty of Medicine, Department of General Surgery, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yigit","family":"Turk","sequence":"additional","affiliation":[{"name":"Ege University Faculty of Medicine, Department of General Surgery, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozgur","family":"Firat","sequence":"additional","affiliation":[{"name":"Ege University Faculty of Medicine, Department of General Surgery, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cemil","family":"Cal\u0131skan","sequence":"additional","affiliation":[{"name":"Ege University Faculty of Medicine, Department of General Surgery, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3689","reference":[{"key":"210448r1","doi-asserted-by":"crossref","unstructured":"Assar A.N., Zarins C.K.: Acute mesenteric ischaemia: facts and perspectives. Br J Hosp Med (Lond), 2008; 69(12): 686\u2013691.","DOI":"10.12968\/hmed.2008.69.12.686"},{"key":"210448r2","unstructured":"Gorey T.F., O'Sullivan M.: Prognostic factors in extensive mesenteric ischaemia. Ann R Coll Surg Engl., 1988; 70(4): 191\u2013194."},{"key":"210448r3","doi-asserted-by":"crossref","unstructured":"Tilsed J.V., Casamassima A., Kurihara H. et al.: ESTES Guidelines: acute mesenteric ischaemia. Eur J Trauma Emerg Surg, 2016; 42: 253\u2013270.","DOI":"10.1007\/s00068-016-0634-0"},{"key":"210448r4","doi-asserted-by":"crossref","unstructured":"Acosta-Merida M.A., Marchena-Gomez J., Hemmersbach-Miller M., Roque-Castellano C., Hernandez-Romero J.M.: Identification of risk factors for perioperative mortality in acute mesenteric ischemia. World J Surg, 2006; 30(8): 1579\u20131585.","DOI":"10.1007\/s00268-005-0560-5"},{"key":"210448r5","doi-asserted-by":"crossref","unstructured":"Klempnauer J., Grothues F., Bektas H., Pichlmayr R.: Long-term results after surgery for acute mesenteric ischemia. Surgery, 1997; 121(3): 239\u2013243.","DOI":"10.1016\/S0039-6060(97)90351-2"},{"key":"210448r6","doi-asserted-by":"crossref","unstructured":"Martinez J.P., Hogan G.J.: Mesenteric ischemia. Emerg Med Clin North Am, 2004; 22(4): 909\u2013928. Review.","DOI":"10.1016\/j.emc.2004.05.002"},{"key":"210448r7","unstructured":"Wadman M., Syk I., Elmstahl S.: Survival after operations for ischaemic bowel disease. Eur J Surg, 2000; 166(11): 872\u2013877. 9 Oldenburg W.A., Lau L.L., Rodenberg T.J., Edmonds H.J., Burger C.D.: Acute mesenteric ischemia: a clinical review. Arch Intern Med, 2004; 164(10): 1054\u20131062. 10 Corder A.P., Taylor I.: Acute mesenteric ischaemia. Postgrad Med J, 1993; 69: 1\u20133. 11 Brandt L.J., Boley S.J.: AGA technical review on intestinal ischemia. American Gastrointestinal Association. Gastroenterology, 2000; 118(5): 954\u2013968. 12 Mozaffar M., Kharazm P., Far M., Firoozi K.: Mesenteric Ischemia: Results of Surgical Treatment and a Review of Literature. The Internet Journal of Surgery, 2006; 9(2): 1\u20136. 13 O'Keefe K.P., Sanson T.G.: Mesenteric Ischemia. Emergency Medicine E-Book: Clinical Essentials (Expert consult-online) second edition, 2013: 292\u2013298. 14 Joep P.M., Dirk H.S.M., Acosta S.: Serological markers for human intestinal ischemia: A systematic review. Best Practice and Research Clinical Gastroenterology, 2017; 31: 69\u201374. 15 Ayd\u0131n B., Ozban M., Serinken M. et al.: The place of D-dimer and L-lactate levels in early diagnosis of acute mesenteric ischemia. Bratisl Lek Listy, 2015; 116(5): 343\u2013350."},{"key":"210448r8","doi-asserted-by":"crossref","unstructured":"Menon N.J, Amin A.M, Mohammed A., Hamilton G.: Acute Mesenteric Ischaemia. 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