High APACHE II score and long length of bowel resection impair the outcomes in patients with necrotic bowel induced hepatic portal venous gas
Journal
BMC Gastroenterology
Journal Volume
11
Pages
18
Date Issued
2011
Author(s)
Abstract
Background: Hepatic portal venous gas (HPVG) is a rare but potentially lethal condition, especially when it results from intestinal ischemia. Since the literatures regarding the prognostic factors of HPVG are still scarce, we aimed to investigate the risk factor of perioperative mortality in this study.Methods: We analyzed data for patients with intestinal ischemia induced HPVG by chart review in our hospital between 2000 and 2007. Factors associated with perioperative mortality were specifically analyzed.Results: There were 22 consecutive patients receiving definite bowel resection. 13 cases (59.1%) died after surgical intervention. When analyzing the mortality in patients after bowel resections, high Acute Physiology And Chronic health Evaluation (APACHE) II score (p < 0.01) and longer length of bowel resection (p = 0.047) were significantly associated with mortality in univariate analyses. The complication rate was 66.7% in alive patients after definite bowel resection.Conclusions: Bowel resection was the only potential life-saving therapy for patients with mesenteric ischemia induced HPVG. High APACHE II score and severity of underlying necrotic bowel determined the results in patients after bowel resection. ? 2011 Wu et al; licensee BioMed Central Ltd.
SDGs
Other Subjects
adult; aged; APACHE; article; clinical article; female; hepatic portal venous gas; human; intestine ischemia; intestine necrosis; intestine resection; male; medical record review; mortality; perioperative period; portal vein blood; postoperative complication; prognosis; risk factor; surgical mortality; computer assisted tomography; enteropathy; hospitalization; intestine; ischemia; middle aged; necrosis; pathology; pathophysiology; portal vein; radiography; retrospective study; treatment outcome; vascularization; Aged; Aged, 80 and over; APACHE; Female; Humans; Intestinal Diseases; Intestines; Ischemia; Male; Middle Aged; Necrosis; Portal Vein; Prognosis; Retrospective Studies; Severity of Illness Index; Tomography, X-Ray Computed; Treatment Outcome
Type
journal article