ABSTRACT
PROSPECTIVE STUDY ON ACUTE MESENTRIC ISCHEMIA AT A TERTIARY CARE CENTRE Original Research Paper Dr Seema Math Assistant professor, Hepatopancreatico biliary Surgeon, Department of General Surgery, AMCH Vijayapur. X 1GJRA - GLOBAL JOURNAL FOR RESEARCH ANALYSIS Background: Mesenteric ischemia develops when your small intestine's blood supply is restricted by narrowed or blocked arteries. The small intestine might suffer severe damage from decreased blood supply. A blood clot that suddenly cuts off the small intestine's blood supply (acute mesenteric ischemia) necessitates emergency surgery. Angioplasty or open surgeries are options for treating chronic mesenteric ischemia. In this study, predictive factors for mesenteric vascular disorders are assessed, with a focus on mesenteric ischemia. All the consecutive Methods: cases of Acute abdomen who were diagnosed & treated for acute mesenteric ischemia in the Department of emergency & surgical gastroenterology at Al Ameen Medical Collage and Hospital from July 2021 to Jan 2023 were included in the study. NOMI and low ow / perfusion states were excluded from the study. There were 20 patients of acute mesenteric Results: ischemia, of which 17 were males and 3 were female. 12 patients had acute mesenteric ischemia who had under gone surgical management & follow up medication, 5 on medical management with follow up medication & 3 expired. 18 out of 20 patients had risk factors mesenteric thrombosis. 14 required ICU stay, 12 required surgical management, 8 out 20, had undergone stoma reversal after 6 to 8 weeks at the later date. 4 of them had re-admission for dehydration and dyselectrolytemia, TPN and ICU admission .2 patient had just D LAP & then explored where in segment of the bowel was dusky and congested settled with 100% O2 & warm saline but he was admitted with chest infection and ARF needing with ICU stay and dialysis. Duration of Hospital stay varied from 1 to 30 days with mean of 15 days in mesenteric vascular diseases. Average incidence of AMI is 18 out of 95 Patients over period of 18 months (8.2%in one year). AMI is an uncommon but life-threatening vascular Conclusions: emergency that requires immediate diagnosis and urgent treatment that is more surgical than medical, or in some circumstances, IR guided