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Survival after operations for ischaemic bowel disease

Wadman, Maria LU ; Syk, I. LU and Elmstahl, S. LU (2000) In European Journal of Surgery 166(11). p.872-877
Abstract

Objective: To find out what factors influence the outcome of operations for ischaemic bowel disease. Design: Retrospective study. Setting: University hospital, Sweden. Main outcome measures: Morbidity and mortality. Subjects: 74 patients, mean age 75 years (range 40-98), operated on for acute bowel ischaemia between 1987 and 1996. Results: A total of 75 emergency operations were done, including 42 bowel-resections, one percutaneous transluminal angioplasty, and one thrombectomy. Thirty-one patients had exploration alone because of extensive gangrene. These explorations were performed in 11 of 14 (79%) patients aged >84 years; 18 of 40 (45%) patients aged 71-84 years and 2 of 21 (9%) patients aged <71 years, (p < 0.001). Of the... (More)

Objective: To find out what factors influence the outcome of operations for ischaemic bowel disease. Design: Retrospective study. Setting: University hospital, Sweden. Main outcome measures: Morbidity and mortality. Subjects: 74 patients, mean age 75 years (range 40-98), operated on for acute bowel ischaemia between 1987 and 1996. Results: A total of 75 emergency operations were done, including 42 bowel-resections, one percutaneous transluminal angioplasty, and one thrombectomy. Thirty-one patients had exploration alone because of extensive gangrene. These explorations were performed in 11 of 14 (79%) patients aged >84 years; 18 of 40 (45%) patients aged 71-84 years and 2 of 21 (9%) patients aged <71 years, (p < 0.001). Of the 14 patients over 84 years old only one survived more than 30 days, compared with 12 of 40 (30%) aged 71-84 years, and 17 of 21 (81%) younger than 71 years (p < 0.001). Operation within 6 hours of admission resulted in significantly better survival compared with operations done after more than 6 hours delay (p = 0.04). Conclusions: Advanced age was a strong risk factor for death after operation for ischaemic bowel disease, and there was a higher incidence of unresectable gangrene. Delay in surgical intervention was associated with increasing mortality.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Bowel ischaemia, Bowel resection, Elderly, Mortality, Splanchnic, Surgery
in
European Journal of Surgery
volume
166
issue
11
pages
872 - 877
publisher
Oxford University Press
external identifiers
  • scopus:0033758246
  • pmid:11097154
ISSN
1102-4151
DOI
10.1080/110241500447263
language
English
LU publication?
yes
id
19d817f3-9488-4385-9119-079c770d58c6
alternative location
https://www.tandfonline.com/doi/abs/10.3109/110241500447263
date added to LUP
2019-06-19 10:56:36
date last changed
2025-01-09 15:07:49
@article{19d817f3-9488-4385-9119-079c770d58c6,
  abstract     = {{<p>Objective: To find out what factors influence the outcome of operations for ischaemic bowel disease. Design: Retrospective study. Setting: University hospital, Sweden. Main outcome measures: Morbidity and mortality. Subjects: 74 patients, mean age 75 years (range 40-98), operated on for acute bowel ischaemia between 1987 and 1996. Results: A total of 75 emergency operations were done, including 42 bowel-resections, one percutaneous transluminal angioplasty, and one thrombectomy. Thirty-one patients had exploration alone because of extensive gangrene. These explorations were performed in 11 of 14 (79%) patients aged &gt;84 years; 18 of 40 (45%) patients aged 71-84 years and 2 of 21 (9%) patients aged &lt;71 years, (p &lt; 0.001). Of the 14 patients over 84 years old only one survived more than 30 days, compared with 12 of 40 (30%) aged 71-84 years, and 17 of 21 (81%) younger than 71 years (p &lt; 0.001). Operation within 6 hours of admission resulted in significantly better survival compared with operations done after more than 6 hours delay (p = 0.04). Conclusions: Advanced age was a strong risk factor for death after operation for ischaemic bowel disease, and there was a higher incidence of unresectable gangrene. Delay in surgical intervention was associated with increasing mortality.</p>}},
  author       = {{Wadman, Maria and Syk, I. and Elmstahl, S.}},
  issn         = {{1102-4151}},
  keywords     = {{Bowel ischaemia; Bowel resection; Elderly; Mortality; Splanchnic; Surgery}},
  language     = {{eng}},
  number       = {{11}},
  pages        = {{872--877}},
  publisher    = {{Oxford University Press}},
  series       = {{European Journal of Surgery}},
  title        = {{Survival after operations for ischaemic bowel disease}},
  url          = {{http://dx.doi.org/10.1080/110241500447263}},
  doi          = {{10.1080/110241500447263}},
  volume       = {{166}},
  year         = {{2000}},
}