Abstract
The 70% to 80% mortality rate of patients with acute mesenteric ischemia (AMI) has remained unchanged over the past 40 years. We report here the initial results using an aggressive approach to this problem. This included the earlier and more liberal use of angiography in patients at risk and the intra-arterial infusion of papaverine for the relief of superior mesenteric artery (SMA) vasoconstriction in both nonocclusive and occlusive forms of AMI. Of the first 50 patients managed by this approach, 35 (70%) had AMI demonstrated by SMA angiography. Nineteen (54%) of these 35 patients survived, including nine of 15 patients with nonocclusive mesenteric ischemia, seven of 16 with SMA embolus, two of three patients with SMA thrombosis, and the one patient with mesenteric venous thrombosis. Seventeen of the 19 survivors lost no bowel or had excision of less than 3 feet of small intestine.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 848-855 |
| Number of pages | 8 |
| Journal | Surgery |
| Volume | 82 |
| Issue number | 6 |
| State | Published - 1977 |
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ASJC Scopus subject areas
- Surgery
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Initial results from an aggressive roentgenological and surgical approach to acute mesenteric ischemia. / Boley, Scott J.; Sprayregan, Seymour; Siegelman, Stanley S.; Veith, Frank J.
In: Surgery, Vol. 82, No. 6, 1977, p. 848-855.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Initial results from an aggressive roentgenological and surgical approach to acute mesenteric ischemia
AU - Boley, Scott J.
AU - Sprayregan, Seymour
AU - Siegelman, Stanley S.
AU - Veith, Frank J.
PY - 1977
Y1 - 1977
N2 - The 70% to 80% mortality rate of patients with acute mesenteric ischemia (AMI) has remained unchanged over the past 40 years. We report here the initial results using an aggressive approach to this problem. This included the earlier and more liberal use of angiography in patients at risk and the intra-arterial infusion of papaverine for the relief of superior mesenteric artery (SMA) vasoconstriction in both nonocclusive and occlusive forms of AMI. Of the first 50 patients managed by this approach, 35 (70%) had AMI demonstrated by SMA angiography. Nineteen (54%) of these 35 patients survived, including nine of 15 patients with nonocclusive mesenteric ischemia, seven of 16 with SMA embolus, two of three patients with SMA thrombosis, and the one patient with mesenteric venous thrombosis. Seventeen of the 19 survivors lost no bowel or had excision of less than 3 feet of small intestine.
AB - The 70% to 80% mortality rate of patients with acute mesenteric ischemia (AMI) has remained unchanged over the past 40 years. We report here the initial results using an aggressive approach to this problem. This included the earlier and more liberal use of angiography in patients at risk and the intra-arterial infusion of papaverine for the relief of superior mesenteric artery (SMA) vasoconstriction in both nonocclusive and occlusive forms of AMI. Of the first 50 patients managed by this approach, 35 (70%) had AMI demonstrated by SMA angiography. Nineteen (54%) of these 35 patients survived, including nine of 15 patients with nonocclusive mesenteric ischemia, seven of 16 with SMA embolus, two of three patients with SMA thrombosis, and the one patient with mesenteric venous thrombosis. Seventeen of the 19 survivors lost no bowel or had excision of less than 3 feet of small intestine.
UR - http://www.scopus.com/inward/record.url?scp=0017620924&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0017620924&partnerID=8YFLogxK
M3 - Article
C2 - 929375
AN - SCOPUS:0017620924
VL - 82
SP - 848
EP - 855
JO - Surgery (United States)
JF - Surgery (United States)
SN - 0039-6060
IS - 6
ER -