Irreversible Transmural Intestinal Necrosis in Acute Mesenteric Ischemia: Retrospective Cohort Study from a High-Volume Hospital

医学 胃肠病学 内科学 优势比 肌酐 回顾性队列研究 重症监护室 入射(几何) 腹膜炎 腹水 单变量分析 外科 多元分析 物理 光学
作者
Zhiyuan Yu,Xiaoyu Dong,Rui Li,Changlai Xiao,Sixin Zhou,Zhen Yuan,Yunhe Gao,Peiyu Li
出处
期刊:Journal of Laparoendoscopic & Advanced Surgical Techniques [Mary Ann Liebert]
标识
DOI:10.1089/lap.2024.0016
摘要

Background: Owing to the low incidence rate and nonspecific symptoms of acute mesenteric ischemia (AMI), the identification and prediction of irreversible transmural intestinal necrosis (ITIN) and extensive bowel resection (≥100 cm) (EBR) are difficult and critical. This study aimed to investigate the risk factors for ITIN and EBR in patients with AMI. Methods: The clinical data of 254 AMI patients were retrospectively analyzed. Furthermore, the incidence of ITIN and EBR were set as dependent variables, and relevant risk factors were screened using univariate and multivariate logistic regression analyses. The comparisons of surgical characteristics and postoperative recovery outcomes between the EBR and control group were also conducted. Results: The presence of hemorrhagic (odds ratio [OR] = 28.356, P < .001) or other types ascites (OR = 13.051, P = .003), peritonitis (OR = 8.463, P = .005), intestinal diameter >2.35 cm (OR = 5.493, P = .020), and serum creatinine (CREA) >95 μmol/L (OR = 4.866, P = .048) were identified as independent risk factors for ITIN in patients with AMI. In addition, serum C-reactive protein (CRP) >15 mg/L (OR = 38.023, P = .006), and CREA >100 μmol/L (OR = 6.248, P = .035) were proved to be independently associated with EBR for ITIN cases. Compared to the control group, EBR significantly increased the likelihood of requiring enterostomy (P = .001), blood transfusion (P = .002), and transfer to intensive care unit (P = .016), while also prolonging the recovery time for intestinal function (P = .014). Conclusions: The presence of ascites, peritonitis, intestinal diameter >2.35 cm, and serum CREA >95 μmol/L were independently correlated with ITIN for AMI cases, while serum CRP >15 mg/L and CREA >100 μmol/L independently increased the risk of EBR.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
游大达完成签到,获得积分10
刚刚
震动的修洁完成签到 ,获得积分10
刚刚
xueshidaheng完成签到,获得积分10
1秒前
甜甜秋荷完成签到,获得积分10
1秒前
朴素树叶完成签到 ,获得积分10
1秒前
优质羊肉泡馍完成签到,获得积分10
1秒前
2秒前
nanostu完成签到,获得积分10
2秒前
Brief完成签到,获得积分10
2秒前
Jason完成签到 ,获得积分10
2秒前
鹏举瞰冷雨完成签到,获得积分10
2秒前
萧水白应助科研通管家采纳,获得50
4秒前
乐观小蕊完成签到,获得积分10
5秒前
5秒前
段辉发布了新的文献求助10
6秒前
我爱学习完成签到,获得积分10
6秒前
MAKEYF完成签到 ,获得积分10
6秒前
7秒前
眼睛大的胡萝卜完成签到 ,获得积分10
7秒前
科研通AI2S应助jiejie采纳,获得20
7秒前
小巧的怜晴完成签到,获得积分10
8秒前
旅程发布了新的文献求助10
10秒前
柳树完成签到,获得积分10
11秒前
daqing完成签到,获得积分10
21秒前
21秒前
张小馨完成签到 ,获得积分10
21秒前
ewmmel完成签到 ,获得积分10
24秒前
123456完成签到 ,获得积分10
24秒前
雨诺完成签到,获得积分10
25秒前
Leo发布了新的文献求助10
26秒前
顽固分子完成签到 ,获得积分10
28秒前
wnll发布了新的文献求助10
31秒前
这个硬盘完成签到 ,获得积分10
31秒前
zh完成签到 ,获得积分10
37秒前
煜琪完成签到 ,获得积分10
42秒前
orixero应助Leo采纳,获得10
44秒前
sdfdzhang完成签到 ,获得积分10
44秒前
春夏秋冬完成签到,获得积分10
46秒前
fantexi113完成签到,获得积分0
47秒前
帅气雪糕完成签到 ,获得积分10
49秒前
高分求助中
The late Devonian Standard Conodont Zonation 2000
Nickel superalloy market size, share, growth, trends, and forecast 2023-2030 2000
The Lali Section: An Excellent Reference Section for Upper - Devonian in South China 1500
Smart but Scattered: The Revolutionary Executive Skills Approach to Helping Kids Reach Their Potential (第二版) 1000
Very-high-order BVD Schemes Using β-variable THINC Method 850
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 800
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 800
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3248882
求助须知:如何正确求助?哪些是违规求助? 2892264
关于积分的说明 8270377
捐赠科研通 2560550
什么是DOI,文献DOI怎么找? 1389097
科研通“疑难数据库(出版商)”最低求助积分说明 651004
邀请新用户注册赠送积分活动 627850