[Experience in the management of acute superior mesenteric artery ischemia].
OBJECTIVE
To study the management of acute superior mesenteric artery (SMA) ischemia and to improve its prognosis.


METHODS
The clinical data of 37 patients treated from January 1996 to August 2007 was retrospectively reviewed.


RESULTS
Of the cases, 19 (51.4%) patients were diagnosed with acute SMA embolism, 15 (40.5%) with acute SMA thrombosis, 2 (5.4%) with spontaneous isolated dissection of SMA and 1 (2.7%) with SMA aneurysm. Nineteen (51.4%) patients were misdiagnosed in emergency. Eighteen (48.6%) patients died in the hospital, and most of them died of severe infection and multiple organ failure. Three cases of the survived 19 patients experienced severe complications (2 with short gut syndrome, 1 with cerebral hemorrhage). Nine cases were followed-up for a mean period of 15 months, and 5 died during that term.


CONCLUSIONS
Acute SMA ischemia has multiple etiological factors. Early intervention can improve the prognosis.
Wang
Lei
L
Division of Vascular and Thyroid Surgery, Department of General Surgery, First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Xin
Shi-jie
SJ
Zhang
Jian
J
Zhang
Xi-tong
XT
Yang
Dong
D
Zhang
Zan-song
ZS
Duan
Zhi-quan
ZQ
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis* / Q000628:therapy*; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies