Predictive Risk Factors of Intestinal Necrosis in Patients with Mesenteric Venous Thrombosis: Retrospective Study from a Single Center
Joint Authors
Wang, Yong
Zhao, Rui
Xia, Lin
Cui, Ya-Ping
Zhou, Yong
Wu, Xiao-Ting
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-07
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Purposes.
Mesenteric venous thrombosis (MVT) is a serious condition.
The current study aimed to identify risk factors of intestinal necrosis (IN) in patients with MVT to predict the onset of patients.
Methods.
Data pertaining to patients diagnosed with MVT between 2014 and May 2018 were reviewed.
Patients’ characteristics and risk factors of IN were assessed.
Results.
Seventy-eight patients were included in our study, of whom all cases were diagnosed as superior mesenteric venous thrombosis.
There were fifty-eight cases (74%) with intestinal necrosis and twenty cases (26%) without intestinal necrosis.
Multivariate analysis of factors associated with IN was organ failure (odds ratio (OR): 4.1; 95% confidence interval (95%CI): 1.26–8.59; P=0.028), elevated serum lactate (OR:3.6; 95% CI: 1.51–5.47; P=0.024), bowel loop dilation on computerized tomography (CT) scan (OR: 2.8; 95% CI: 1.32–7.23; P=0.031), and the time between onset of symptoms and operation (OR: 4.8; 95% CI: 1.36–9.89; P=0.012).
Area under the receiver operating characteristics curve for the diagnosis of IN with MVT was 0.901 (95%CI: 0.809–0.993; P=0.000) depending on the different number of predictive factors.
Conclusion.
Predictive risk factors for IN with MVT were organ failure, elevated serum lactate level, bowel loop dilation on CT, and the time between onset of symptoms and operation.
However, this result is from a retrospective study and further long-term, large-sample prospective studies are required to confirm this finding.
American Psychological Association (APA)
Wang, Yong& Zhao, Rui& Xia, Lin& Cui, Ya-Ping& Zhou, Yong& Wu, Xiao-Ting. 2019. Predictive Risk Factors of Intestinal Necrosis in Patients with Mesenteric Venous Thrombosis: Retrospective Study from a Single Center. Canadian Journal of Gastroenterology and Hepatology،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1129937
Modern Language Association (MLA)
Wang, Yong…[et al.]. Predictive Risk Factors of Intestinal Necrosis in Patients with Mesenteric Venous Thrombosis: Retrospective Study from a Single Center. Canadian Journal of Gastroenterology and Hepatology No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1129937
American Medical Association (AMA)
Wang, Yong& Zhao, Rui& Xia, Lin& Cui, Ya-Ping& Zhou, Yong& Wu, Xiao-Ting. Predictive Risk Factors of Intestinal Necrosis in Patients with Mesenteric Venous Thrombosis: Retrospective Study from a Single Center. Canadian Journal of Gastroenterology and Hepatology. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1129937
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129937