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Table 5 Secondary management after initial treatment with curative intention

From: Incidence, diagnosis, management and outcome of acute mesenteric ischaemia: a prospective, multicentre observational study (AMESI Study)

 

All

n = 372a

Arterial

n = 205a

Venous

n = 72a

NOMI

n = 47a

Otherb

n = 9a

Unclear

n = 39a

No secondary intervention, n (%)

218 (58.7)

114 (55.6)

63 (87.5)

22 (46.8)

1 (11.1)

18 (46.2)

Second look planned

127 (34.1)

83 (40.5)

11 (15.3)

12 (25.5)

5 (55.6)

16 (41)

Preplanned second look performed

93 (24.9)

56 (27.3)

8 (11.1)

12 (25.5)

5 (55.6)

12 (30.8)

 Resulted in secondary bowel resection

43 (11.5)

26 (12.7)

3 (4.2)

5 (10.6)

4 (44.4)

5 (12.8)

Bowel resection, n (%)

66 (17.7)

41 (20)

6 (8.3)

7 (15.2)

6 (66.7)

6 (15.4)

 After initial endovascular treatment n = 54

12 (3.2)

12 (5.9)

 After surgical and endovascular treatment n = 25

10 (2.7)

7 (3.4)

1 (2.1)

2 (22.2)

 After initial surgery with revascularization n = 34

9 (2.4)

8 (3.9)

1 (11.1)

 After initial bowel resection n = 134

29 (7.8)

10 (4.9)

5 (6.9)

5 (10.6)

3 (33.3)

6 (15.4)

 After explorative laparoscopy/laparotomy n = 49

2 (0.5)

2 (1)

 After initial conservative treatment n = 76

6 (1.6)

4 (2.0)

1 (1.4)

1 (2.1)

End-of-life care, n (%)

88 (23.6)

50 (24.4)

3 (4.2)

18 (39.1)

2 (22.2)

15 (38.5)

  1. NOMI non-occlusive mesenteric ischaemia
  2. aOnly patients with initial treatment with curative intention (any method) were included in this analysis, patients in whom end-of-life care was initiated without an attempt of any treatment with curative intention, were excluded
  3. bOther included specific mechanisms such as dissection, bowel distortion, mechanical devices for cardiac support and abdominal compartment syndrome