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Verfasst von:Reißfelder, Christoph [VerfasserIn]   i
 Sweiti, Hussein [VerfasserIn]   i
 Antolovic, Dalibor [VerfasserIn]   i
 Rahbari, Nuh Nabi [VerfasserIn]   i
 Hofer, Stefan [VerfasserIn]   i
 Büchler, Markus W. [VerfasserIn]   i
 Weitz, Jürgen [VerfasserIn]   i
 Koch, Moritz [VerfasserIn]   i
Titel:Ischemic colitis
Titelzusatz:Who will survive?
Verf.angabe:Christoph Reissfelder, Hussein Sweiti, Dalibor Antolovic, Nuh N. Rahbari, Stefan Hofer, Markus W. Büchler, Jürgen Weitz, and Moritz Koch
E-Jahr:2011
Jahr:17 January 2011
Umfang:8 S.
Fussnoten:Gesehen am 15.09.2022
Titel Quelle:Enthalten in: Surgery
Ort Quelle:Amsterdam [u.a.] : Elsevier, 1995
Jahr Quelle:2011
Band/Heft Quelle:149(2011), 4, Seite 585-592
ISSN Quelle:1532-7361
Abstract:Background - Operative treatment for acute ischemic colitis is associated with a high morbidity and mortality. These patients often have a prolonged postoperative stay in the intensive care unit with an uncertain outcome. In this study, we aimed to develop a predictive risk score for perioperative mortality and to examine long-term follow-up of patients with acute ischemic colitis. - Methods - All patients (n = 177) undergoing surgical treatment for acute ischemic colitis in our institution from 2002 to 2008 were prospectively included in this study. Independent predictors of perioperative mortality and poor long-term survival were assessed by uni- and multivariate analysis. - Results - A risk score including various perioperative variables (nonocclusive ischemic colitis, acute renal failure, extent of bowel ischemia, serum lactate, and duration of catecholamine therapy) was defined being highly predictive for postoperative mortality of patients having undergone an operation for acute ischemic colitis. Mesenteric atherosclerosis in the surgical specimen is an independent prognostic factor for poor long-term survival (52 vs 40 months with mesenteric atherosclerosis; P = .027). - Conclusion - This study for the first time presents a risk score highly predictive of postoperative mortality of patients undergoing an operation for ischemic colitis. Our score may help to further select and modify therapeutic management in patients with acute ischemic colitis on the basis of validated data. Furthermore, we could demonstrate a significant influence of mesenteric atherosclerosis on long-term survival of patients with acute ischemic colitis.
DOI:doi:10.1016/j.surg.2010.11.008
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1016/j.surg.2010.11.008
 Volltext: https://www.sciencedirect.com/science/article/pii/S003960601000615X
 DOI: https://doi.org/10.1016/j.surg.2010.11.008
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1816694665
Verknüpfungen:→ Zeitschrift

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