SHORT-TERM OUTCOME OF MULTI-DISCIPLINARY TREATMENT IN ACUTE MESENTERIC ISCHEMIA

Abstract

Background: Acute mesenteric ischemia is an emergency condition which is still a challenge for physicians nowadays. In the past, the diagnosis was used to be late, and the treament only involved surgery for bowel resection. Since the development of imaging modalities and endovascular technique, the diagnosis ability has become better, as well as the treatment results. We can treat the condition and also remove the obstructive factors for re-vascularization.

Objective: To evaluate short-term outcome of multi-disciplinary treatment in acute mesenteric ischemiaMethods: Retrospective case series, select patients with AMI diagnosis from May 2018 to May 2021 (3 years) in Gia Dinh hospital.

in Gia Dinh hospital.

Results: There are 30 patients, including 20 males and 10 females. Mean age is 57 yo (min 24yo, max 93yo). There are 5/30 patients in serious conditions. Most common symptom is abdominal pain (97%), followed by nausea/vomitting and diarrhea. Some common risk factors are atrial fibrillation, heart valve diseases, cirrhosis with portal hypertension. All of the CT scan results show abnormal findings, and obstructive factors are detected in 97% of the cases. Treatment time from the admission is 18,4 hours, while treatment time from the diagnosis confirmation is 7,3 hours. The average length of hospital stay is 8,7 days, with 15/30 patients (50%) were clinically improved and 9/30 patients (30%) were totally revascularization. Mortality rate is 17%.

Conclusion: Multi-disciplinary treatment in AMI has 2 purposes: treat the condition (necrotic bowel, physiological disorders) and also remove the obstructive factors (re-vascularization). It is recommended in specialized centers for improve the outcome.

Keywords: acute mesenteric ischemia, emboli acute mesenteric ischemia, thrombosis acute mesenteric ischemia, venous acute mesenteric ishemia, mesenteric venous thrombosis, non-occlusive mesenteric ischemia