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Incidence of acute thrombo-embolic occlusion of the superior mesenteric artery--a population-based study

Acosta, Stefan LU orcid ; Ögren, M ; Sternby, Nils LU ; Bergqvist, D and Bjorck, M (2004) In European Journal of Vascular and Endovascular Surgery 27(2). p.145-150
Abstract
OBJECTIVE: To determine the incidence of acute thrombo-embolic occlusion of the superior mesenteric artery (AOSMA) in a population-based study. MATERIAL: All clinical (n=23,446) and forensic (n=7569) autopsies performed in the city of Malmo between 1970 and 1982 (population 264,000-230,000 inhabitants). The autopsy rate was 87%. METHODS: Calculation of the incidence of AOSMA with intestinal gangrene in those autopsies coded for bowel ischaemia (997/23,446 clinical and 9/7569 forensic autopsies). The operative procedures performed in 1970, 1976 and 1982 were also analysed. RESULTS: Two forensic and 211 clinical autopsies demonstrated AOSMA with intestinal gangrene. Previous suspicion of intestinal ischaemia was noted in only 33%. Sixteen... (More)
OBJECTIVE: To determine the incidence of acute thrombo-embolic occlusion of the superior mesenteric artery (AOSMA) in a population-based study. MATERIAL: All clinical (n=23,446) and forensic (n=7569) autopsies performed in the city of Malmo between 1970 and 1982 (population 264,000-230,000 inhabitants). The autopsy rate was 87%. METHODS: Calculation of the incidence of AOSMA with intestinal gangrene in those autopsies coded for bowel ischaemia (997/23,446 clinical and 9/7569 forensic autopsies). The operative procedures performed in 1970, 1976 and 1982 were also analysed. RESULTS: Two forensic and 211 clinical autopsies demonstrated AOSMA with intestinal gangrene. Previous suspicion of intestinal ischaemia was noted in only 33%. Sixteen patients were operated. The cause-specific mortality was 6.0/1000 deaths. The incidence was 8.6/100,000 person years, increasing exponentially with age (p<0.001). Mortality was 93%. CONCLUSIONS: The incidence and mortality of AOSMA is higher than previously reported from clinical series. There is seldom any suspicion of the diagnosis prior to death. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Journal of Vascular and Endovascular Surgery
volume
27
issue
2
pages
145 - 150
publisher
Elsevier
external identifiers
  • pmid:14718895
  • scopus:1642472816
  • pmid:14718895
ISSN
1532-2165
DOI
10.1016/j.ejvs.2003.11.003
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Pathology (Malmö) (013031000), Emergency medicine/Medicine/Surgery (013240200)
id
e300fc21-315d-4343-bb91-50912ad8d9ae (old id 1128986)
date added to LUP
2016-04-01 16:15:19
date last changed
2022-03-14 23:13:46
@article{e300fc21-315d-4343-bb91-50912ad8d9ae,
  abstract     = {{OBJECTIVE: To determine the incidence of acute thrombo-embolic occlusion of the superior mesenteric artery (AOSMA) in a population-based study. MATERIAL: All clinical (n=23,446) and forensic (n=7569) autopsies performed in the city of Malmo between 1970 and 1982 (population 264,000-230,000 inhabitants). The autopsy rate was 87%. METHODS: Calculation of the incidence of AOSMA with intestinal gangrene in those autopsies coded for bowel ischaemia (997/23,446 clinical and 9/7569 forensic autopsies). The operative procedures performed in 1970, 1976 and 1982 were also analysed. RESULTS: Two forensic and 211 clinical autopsies demonstrated AOSMA with intestinal gangrene. Previous suspicion of intestinal ischaemia was noted in only 33%. Sixteen patients were operated. The cause-specific mortality was 6.0/1000 deaths. The incidence was 8.6/100,000 person years, increasing exponentially with age (p&lt;0.001). Mortality was 93%. CONCLUSIONS: The incidence and mortality of AOSMA is higher than previously reported from clinical series. There is seldom any suspicion of the diagnosis prior to death.}},
  author       = {{Acosta, Stefan and Ögren, M and Sternby, Nils and Bergqvist, D and Bjorck, M}},
  issn         = {{1532-2165}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{145--150}},
  publisher    = {{Elsevier}},
  series       = {{European Journal of Vascular and Endovascular Surgery}},
  title        = {{Incidence of acute thrombo-embolic occlusion of the superior mesenteric artery--a population-based study}},
  url          = {{http://dx.doi.org/10.1016/j.ejvs.2003.11.003}},
  doi          = {{10.1016/j.ejvs.2003.11.003}},
  volume       = {{27}},
  year         = {{2004}},
}