THE EXPERIENCE OF THE TREATMENT OF ACUTE MESENTERIC ISCHEMIA

Authors

DOI:

https://doi.org/10.11603/2414-4533.2025.4.15288

Keywords:

acute mesenteric ischemia, intestinal revascularization, multiple organ failure

Abstract

The aim of the work: to identify characteristic features of the clinical course of acute mesenteric ischemia (AMI) based on etiological factors, and to determine the key contributors to reducing postoperative complications and mortality, with the goal of improving treatment outcomes.

Materials and Methods. The study analyzed 12 cases of AMI treated at Ternopil City Emergency Hospital between 2021 and 2024. AMI was caused by mesenteric artery thrombosis in 7 patients (58 %) and by embolism of the superior mesenteric artery in 5 patients (42 %). The overall postoperative mortality rate was 50 %. Factors associated with patient survival included etiology, diagnostic capabilities, surgical treatment strategies, and postoperative management.

Results. The highest postoperative mortality (75 %) observed in patients with mesenteric thrombosis and concomitant COVID-19 or post-COVID syndrome. In contrast, the mortality rate among patients with mesenteric thrombosis without COVID-19 was 33 %. Superior mesenteric artery embolism was associated with a 40% mortality rate. Revascularization without the need for bowel resection was achieved in 16 % of cases. Explorative laparotomy due to total intestinal infarction was performed in 25 % of patients.

Conclusions. Early diagnosis is critical for successful AMI treatment. The release of toxic substances resulting from intestinal ischemia and infarction contributes to multiple organ failure, which remains the leading cause of early postoperative mortality.

Author Biographies

A. R. VAYDA, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

PhD (Medicine), Associate Professor of the Department of Surgery No. 2

О. A. YAKYMCHUK, Ternopil City Emergency Hospital, Ternopil, Ukraine

PhD (Medicine), Associate Professor of the Department of Surgery No. 1 with Urology and Minimally Invasive Surgery named after L. Kovalchuk

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Published

2025-12-30

How to Cite

VAYDA, A. R., & YAKYMCHUK О. A. (2025). THE EXPERIENCE OF THE TREATMENT OF ACUTE MESENTERIC ISCHEMIA. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 102–107. https://doi.org/10.11603/2414-4533.2025.4.15288

Issue

No. 4 (2025)

Section

EXPERIENCE OF WORK

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Copyright (c) 2025 А. Р. ВАЙДА, О. А. ЯКИМЧУК

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