FACTORS AFFECTING OUTCOME OF MESENTRIC VASCULAR ISCHEMIA IN A TERTIARY CARE CENTRE

Introduction: Acute mesenteric ischemia (AMI) is a catastrophic abdominal vascular emergency with a mortality of over 50% despite more than 50 years of advances in the treatment. Diagnosis is challenging due to paucity of specific signs and symptoms, non-specific laboratory and radiological findings.. Aims And Objectives: To study the incidence of mortality and factors affecting it in patients of mesenteric vascular ischemia. Mortality with respect to various parameters such as demographic , clinical , laboratory , radiological , interoperative findings and complications is analysed. Prospective observational study, done including 41 operated cases of mesenteric vascular Methodology: ischemia. Results: Mean age of presentation was 53.36 years. Mortality was slightly higher (88%) in the patients above 60 years with no sex preponderance. Out of 41 patients 14 were smokers and 5 had positive COVID 19 history .patients presenting with shock had a mortality rate of 94.4% which was significantly high. Dyslipidaemia was noted in 24.4% patients but had no significant association with respect to mortality. 22( 91.6 %) out of 24 patients who had deranged coagulation profile were lost to disease. Patients who underwent a resection of more than 100 cm of bowel had a significant mortality rate of 90.9 %. various findings on USG , Xray, CECT were also studied .Similarly , operative procedure such as anastomosis or stoma with post op infections were also evaluated but none showed any specific survival benefits. Delayed presentation of the patients, patients presenting in shock, hyper coagul Conclusion: ability and more than 100 cm of bowel resection signifies adverse prognosis. Based on this study we emphasise on having a high suspicion for early diagnosis, prompt investigations especially CT Scan, definitive management where ever possible. Timely follow-up to intervene in the chronic phase of disease which precedes in almost 20-30% of the patients is also crucial.