PREDICTIVE RISK ASSESSMENT SCALE OF ISCHEMIC COLITIS DEVELOPMENT IN PATIENTS WITH ELECTIVE INFRARENAL AORTIC ANEURISM REPAIR
https://doi.org/10.24884/0042-4625-2017-176-1-14-19
Abstract
The article presents the scale developed by authors of prognostic assessment of ischemic colitis evolution in patients after planned resection of infrarenal aortic aneurism. A retrospective analysis of medical histories of 201 operated patients and statistical data manipulation were made at the period from 1985 to 2016. It was stated, that score less than 2 points represents patients of high risk group of ischemic colitis development. The scale of sensitivity consisted of 80% and scale of specificity - 63,4%. The score of developed scale depended of passability and blood flow condition in the inferior mesenteric, the right and left internal iliac arteries being evaluated during surgery. The aim of surgeons is to increase the number of points in the scale using revascularization of the inferior mesenteric and at least one of internal iliac artery in patients of the high risk group of ischemic colitis development.
About the Authors
N. A. Yaitsky
I.P.Pavlov First Saint-Petersburg State Medical University
Russian Federation
Russian Federation
A. Ya. Bedrov
I.P.Pavlov First Saint-Petersburg State Medical University
Russian Federation
Russian Federation
A. A. Moiseev
I.P.Pavlov First Saint-Petersburg State Medical University
Russian Federation
Russian Federation
G. V. Rybakov
I.P.Pavlov First Saint-Petersburg State Medical University
Russian Federation
Russian Federation
References
1. Бедров А. Я., Моисеев А. А., Устюжанинов A. C. Интраоперационная оценка кровоснабжения левой половины ободочной кишки после резекции аневризмы инфраренального сегмента аорты // Учен. записки СПбГМУ им. акад. И. П. Павлова. 2013. № 4. С. 66-70.
2. Реброва О. Ю. Статистический анализ медицинских данных. Применение пакета прикладных программ Statistica. М.: МедиаСфера, 2003, 312 с.
3. Яицкий H. A., Игнашов A. M., Бедров А. Я., Устюжанинов A. C. Профилактика ишемических расстройств левого фланга ободочной кишки при резекции аневризмы инфраренального сегмента аорты // Мед. акад. журн. 2007. № 1. С. 150-157.
4. Biros E., Staffa R. Incidence and risk factors of ischemic colitis after AAA repair in our cohort of patients from 2005 through 2009 // Rozhl. Chir. 2011. Vol. 90. P. 682-687.
5. Danse E., Van Beers B., Jamart J. et al. Prognosis of ischemic colitis: comparison of color doppler sonography with early clinical and laboratory findings // Am. J. Roentgenol. 2000. Vol. 175. P. 1151-11554.
6. Milite D., Campanile F., Tosato F. et al. Hypogastric artery bypass in open repair of abdominal aortoiliac aneurysm: a safe procedure // Int. CardioVasc. Thorac. Surg. 2010. Vol. 10. P. 749-752.
7. Moszkowicz D., Mariani A., Trésallet C., Menegaux F. Ischemic colitis: the ABCs of diagnosis and surgical management // J. Vasc. Surg. 2013. Vol. 150. P. 119-128.
8. Senekowitsch C., Assadian A., Assadian O. et al. Replanting the inferior mesentery artery during infrarenal aortic aneurysm repair: influence on postoperative colon ischemia // J. Vasc. Surg. 2006. Vol. 43. P. 689-694.
9. Seok Reyol Choi, Sam Ryong Jee, Geun Am Song. Predictive factors for severe outcomes in ischemic colitis // Gut and Liver. 2015. Vol. 9. P. 761-766.
10. Steele S. R. Ischemic colitis complicating major vascular surgery // Surg. Clin. North. Am. 2007. Vol. 87. P. 1099-114.
Review
For citations:
Yaitsky N.A., Bedrov A.Ya., Moiseev A.A., Rybakov G.V. PREDICTIVE RISK ASSESSMENT SCALE OF ISCHEMIC COLITIS DEVELOPMENT IN PATIENTS WITH ELECTIVE INFRARENAL AORTIC ANEURISM REPAIR. Grekov's Bulletin of Surgery. 2017;176(1):14-19. (In Russ.) https://doi.org/10.24884/0042-4625-2017-176-1-14-19
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