Özet:

The aim of the study is to mention the factors affecting mortality in cases with acute mesenteric ischemia. 24 acute mesenteric ischemia cases operated by 1st and 4th surgical clinics of SSK Göztepe Education Hospital between1996-2001 were examined retrospectively by means of age, gender, concomitant diseases, symptoms, clinical findings, operation performed and mortality. 18 (% 75) of the cases were male and 6 (% 25) were female. Mean age was 61. 22 (% 91.7) cases suffered from abdominal pain, 18 (% 75) from nausea and vomiting, 10 (% 41.7) from unability to defecate, 6 (% 25) from blood in stool. As concomitant diseases 10 (% 41.6) cases had hypertension, 6 (% 25) ischaemic heart disease, 4 (% 16.7) atrial fibrillation, 4 (% 16.7) congestive heart failure. There was leucocytosis over 11.000 mm3 in 18 cases. Resection+anastomosis was performed to 18 (% 75) cases. 3 cases were reoperated for a second look at 24th hour and resection borders were extended. 6 (% 29) cases undergone only exploratris laparotomy. Mortality was determined as 66.6 %. Patients evaluated in cases of emergency should undergo angiographic, doppler ultrasonographic and diagnostic laparoscopic examination by considering concomitant diseases if diagnosis of mesenteric ischemia can not be excluded. Our hospitals should have experienced personnel and equipment on this issue.

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