Analysis of factors affecting mortality outcome in ischemic bowel disease- a study of 50 cases

Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 7

Abstract

Introduction: Ischemic bowel disease is the outcome of inadequate supply of oxygen to the intestine leading to ischemia having a plethora of symptoms and signs which are often inconspicuous leading to delayed diagnosis exacerbating already poor patient outcomes. There is a definite need to classify patients into high and low risk categories, so that intensive monitoring and care can be delivered to improve mortality outcome. Methods: We have done a prospective study of 50 adult cases of ischemic bowel disease confirmed on radiology, intra-operative findings and histopathology and compared the mortality and severity of disease with various patient parameters and analyzed significant correlations if any. Results: Majority of patients were adult males above age of 50 years with acute presentation. Hypertension and diabetes were commonly seen. Clinically, tenderness and tachycardia were common. ECG was abnormal in 72% patients. On imaging, thrombotic SMA involvement was present in majority of patients. Therapeutically, 90% patients were explored with a high mortality rate (71%) commonly the cause being sepsis (47%). Overall mortality was 64%. Small bowel was commonly affected. Majority of patients suffered from sepsis requiring ionotropic and ventilatory support. All patients with SMV thrombosis survived. Raised serum creatinine and altered pH were strongly associated with mortality. Also patients with ischemic bowel segment more than 80cm were at a high risk of death. Conclusion: The need for a scoring system based on parameters discussed has to be addressed, to stratify patients who will require critical and specialized intensive care and improve mortality outcomes

Authors and Affiliations

Advait H Jathar, Bharat S Kamath, Shilpa A Rao

Keywords

Related Articles

Distribution of ABO blood groups and Rh(D) factor in and around Anatapuramu, Andhra Pradesh

Background: India is a vast country with lot of diversity in race, religion and creed. The same diversity has been observed in geographical distribution of blood groups in population within country. ABO and Rh blood grou...

Comparative study of manual uterine displacement and wedge under right hip in prevention of supine hypotension syndrome in caesarean section under spinal anesthesia

Introduction: Supine hypotension syndrome results in signs of shock, by decrease in maternal blood pressure. This may result in life threatening complications in mother and fetus. To reduce the incidence of supine hypote...

Rupture of pregnant uterus: incidence, risk factors, maternal and fetal outcome

Objective: To determine the incidence, risk factors, complications, management modalities and maternal and perinatal outcome of rupture uterus in pregnancy. Methods: This retrospective study was carried out at a teaching...

Clinical presentation and management of anterior capsular contraction

Purpose: Aim of this study is to analyze clinical presentation and predisposing risk factors of anterior capsular contraction following phacoemulsification and to assess challenges encountered in management. Methods: Thi...

A study of clinico-hematological profile of pancytopenic patients in Central India

Background: To segregate the causes of pancytopenia which are easily treatable, from those requiring sophisticated investigations & vigorous treatment, based on clinico-hematological profile of the patients and affordabl...

Download PDF file
  • EP ID EP230979
  • DOI 10.17511
  • Views 138
  • Downloads 0

How To Cite

Advait H Jathar, Bharat S Kamath, Shilpa A Rao (2016). Analysis of factors affecting mortality outcome in ischemic bowel disease- a study of 50 cases. International Journal of Medical Research and Review, 4(7), 1259-1266. https://www.europub.co.uk/articles/-A-230979