Isquemia mesentérica no hemodialisado.
Eighteen hemodialysis patients with the diagnosis of mesenteric ischemia (MI), admitted to the Renal Service in the last 5 years, were retrospectively reviewed. All patients, 10 males and 8 females, average age 66.3 +/- 8.6 years, were complaining of acute abdominal pain without other specific clini...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ordem dos Médicos
1992-04-01
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| Series: | Acta Médica Portuguesa |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3232 |
| _version_ | 1811195358163763200 |
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| author | L Gusmão A Santana I Riocarvalho A Martinho H Messias P Ponce |
| author_facet | L Gusmão A Santana I Riocarvalho A Martinho H Messias P Ponce |
| author_sort | L Gusmão |
| collection | DOAJ |
| description | Eighteen hemodialysis patients with the diagnosis of mesenteric ischemia (MI), admitted to the Renal Service in the last 5 years, were retrospectively reviewed. All patients, 10 males and 8 females, average age 66.3 +/- 8.6 years, were complaining of acute abdominal pain without other specific clinical or laboratorial findings, had their diagnosis confirmed during laparatomy, with ischemic involvement of the ileocecal/ascendant colon area in 14 cases and the small bowel in 4. Noteworthy was the high incidence of previous dialysis-induced hypotensive episodes (10/18), the presence of leukocytosis (13/18), the high average hemoglobin level of 9.4 gr/dl, and the constant finding of non-occlusive MI. Average time in-hospital was 15.4 days (2 to 30) and the mortality--88% (16 patients). The growing incidence of MI mostly of the non-occlusive type, and its grim prognosis, calls for an early diagnosis of functional ischemic colitis, and the adoption of preventive action to avoid bowel infarction. |
| first_indexed | 2024-04-12T00:41:56Z |
| format | Article |
| id | doaj.art-a3da938a881c4c6c8262a93c5901cfed |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-12T00:41:56Z |
| publishDate | 1992-04-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-a3da938a881c4c6c8262a93c5901cfed2022-12-22T03:54:59ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07581992-04-015410.20344/amp.3232Isquemia mesentérica no hemodialisado.L Gusmão0A SantanaI RiocarvalhoA MartinhoH MessiasP PonceServiço de Nefrologia, Hospital de S. Cruz, Carnide.Eighteen hemodialysis patients with the diagnosis of mesenteric ischemia (MI), admitted to the Renal Service in the last 5 years, were retrospectively reviewed. All patients, 10 males and 8 females, average age 66.3 +/- 8.6 years, were complaining of acute abdominal pain without other specific clinical or laboratorial findings, had their diagnosis confirmed during laparatomy, with ischemic involvement of the ileocecal/ascendant colon area in 14 cases and the small bowel in 4. Noteworthy was the high incidence of previous dialysis-induced hypotensive episodes (10/18), the presence of leukocytosis (13/18), the high average hemoglobin level of 9.4 gr/dl, and the constant finding of non-occlusive MI. Average time in-hospital was 15.4 days (2 to 30) and the mortality--88% (16 patients). The growing incidence of MI mostly of the non-occlusive type, and its grim prognosis, calls for an early diagnosis of functional ischemic colitis, and the adoption of preventive action to avoid bowel infarction.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3232 |
| spellingShingle | L Gusmão A Santana I Riocarvalho A Martinho H Messias P Ponce Isquemia mesentérica no hemodialisado. Acta Médica Portuguesa |
| title | Isquemia mesentérica no hemodialisado. |
| title_full | Isquemia mesentérica no hemodialisado. |
| title_fullStr | Isquemia mesentérica no hemodialisado. |
| title_full_unstemmed | Isquemia mesentérica no hemodialisado. |
| title_short | Isquemia mesentérica no hemodialisado. |
| title_sort | isquemia mesenterica no hemodialisado |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3232 |
| work_keys_str_mv | AT lgusmao isquemiamesentericanohemodialisado AT asantana isquemiamesentericanohemodialisado AT iriocarvalho isquemiamesentericanohemodialisado AT amartinho isquemiamesentericanohemodialisado AT hmessias isquemiamesentericanohemodialisado AT pponce isquemiamesentericanohemodialisado |