Ischemic colitis following infrarenal abdominal aortic aneurysm treatment: Results from a tertiary medical center

This complication with a high mortality rate following open AAA surgery should be notedby surgeons and we believe that the liberal utilization of laparotomy and early intervention in suspected cases will decreasemortality rates.

📌 3 Key Takeaways

🎯

Objective & Hypothesis:OBJECTIVE: The aim of this study was to investigate the effects of ruptured aneurysm on morbidity and mortality in patientswith ischemic colitis (IC) and resection following infrarenal abdominal aortic aneurysms (AAA) surgery.METHODS: Between January 2012 and December 2016, patients who underwent resection for ischemic colitis in our clinicwere retrospectively reviewed.

📊

Key Findings & Data:The patients were compared and divided into twogroups as those with ruptured aneurysm and those without.RESULTS: A total of 275 infrarenal AAA cases were treated by the cardiovascular surgery clinic between January 2012 andDecember 2016.

💡

Conclusion & Impact:This complication with a high mortality rate following open AAA surgery should be notedby surgeons and we believe that the liberal utilization of laparotomy and early intervention in suspected cases will decreasemortality rates.

🔬Design:Review & Systematic Survey

📍Scope:2012 Verileri

⚙️Variables:Domain Parameters

Abstract

OBJECTIVE: The aim of this study was to investigate the effects of ruptured aneurysm on morbidity and mortality in patientswith ischemic colitis (IC) and resection following infrarenal abdominal aortic aneurysms (AAA) surgery.METHODS: Between January 2012 and December 2016, patients who underwent resection for ischemic colitis in our clinicwere retrospectively reviewed. Data on the ruptured condition of the aneurysm, the emergency or elective form of aneurysmsurgery, treatment method for the aneurysm (EVAR-open) were obtained. The patients were compared and divided into twogroups as those with ruptured aneurysm and those without.RESULTS: A total of 275 infrarenal AAA cases were treated by the cardiovascular surgery clinic between January 2012 andDecember 2016. Fourteen patients (5%) developed ischemic colitis requiring resection. Four (1.8%) patients with EVAR and10 (17.5%) patients with open surgery were operated because of IC. No statistically significant difference was observedbetween the two groups in terms of demographic data and surgical procedures. The intergroup comparison did not revealany statistically significant difference among gastrointestinal (GIS) symptoms, the time period until surgery, the involvedcolon segment, and the surgical procedures performed. The mortality rate in ruptured AAA group was 83.3%, while it was62.5% in the non-ruptured AAA group. In spite of the fact that the mortality rate was high in the ruptured group, it was notstatistically significant (p=0.393).CONCLUSION: IC is a complication of AAA surgery with a high mortality rate. Rupture in abdominal aortic aneurysm increasing mortality in IC patients. This complication with a high mortality rate following open AAA surgery should be notedby surgeons and we believe that the liberal utilization of laparotomy and early intervention in suspected cases will decreasemortality rates.

🔖

Cite This Article

GÜLMEZ, S., ÇİYİLTEPE, H., AKBULUT, M., SENGER, A. S., ADAY, U., GÜNDEŞ, E., ÇETİN, D. A., POLAT, E. (2022). Ischemic colitis following infrarenal abdominal aortic aneurysm treatment: Results from a tertiary medical center. İstanbul Kuzey Klinikleri, Cilt: 5 - Sayı: 3, 221–226. https://ajindex.com/articles/551502

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (14)

Steele SR. Ischemic colitis complicating major vascular surgery. Surg Clin Am 2007;87:1099–114
Becquemin JP, Majewski M, Fermani N, Marzelle J, Desgrandes P, Allaire E, et al. Colon ischemia following abdominal aortic aneurysm repair in the era of endovascular abdominal aortic repair. J Vasc Surg 2008;47:258–63
Moghadamyeghaneh Z, Sgroi MD, Chen SL, Kabutey NK, Stamos MJ, Fujitani RM. Risk factors and outcomes of postoperative ischemic colitis in contemporary open and endovascular abdominal aortic aneurysm repair. J Vasc Surg 2016;63:866–72
Davidovic LB, Maksic M, Koncar I, Ilic N, Dragas M, Fatic N, et al. Open repair of AAA in a high volume center. World J Surg 2017;41:884–91
Moszkowicz D, Mariani A, Trésallet C, Menegaux F. Ischemic colitis: the ABCs of diagnosis and surgical management. J Visc Surg 2013;150:19–28
Lee MJ, Daniels SL, Drake TM, Adam IJ. Risk factors for ischaemic colitis after surgery for abdominal aortic aneurysm: a systematic review and observational meta-analysis. Int J Colorectal Dis 2016;31:1273– 81
Neary P, Hurson C, Briain DO, Brabazon A, Mehigan D, Keaveny TV, et al. Abdominal aortic aneurysm repair and colonic infarction: a risk factor appraisal. Colorectal Dis 2007;9:166–72
Toya N, Baba T, Kanaoka Y, Ohki T. Embolic complications after endovascular repair of abdominal aortic aneurysms. Surg Today 2014;44:1893–9
Genstorfer J, Schafer J, Kettelhack C, Oertli D, Rosenthal R. Surgery for ischemic colitis: outcome and risk factors for in-hospital mortality. Int J Colorectal Dis 2014;29:493–503
Champagne BJ, Darling RC, Daneshmand M, Kreienberg PB, Lee EC, Mehta M, et al. Outcome of aggressive surveillance colonoscopy in ruptured abdominal aortic aneurysm. J Vasc Surg 2004;39:792–6
Brandt LJ, Feuerstadt P, Longstreth GF, Boley SJ; American College of Gastroenterology. ACG clinical guideline: epidemiology, risk factors, patterns of presentation, diagnosis, and management of colon ischemia (CI). Am J Gastroenterol 2015;110:18–44
Perry RJ, Martin MJ, Sohn VY, Steele SR. Colonic ischemia complicating open vs endovascular abdominal aortic aneurysm repair. J Vasc Surg 2008;48:272–7
Darras S, Paineau J, Patra P, Goueffic Y. Prognostic factors of ischemic colitis after infrarenal aortic surgery. Ann Vasc Surg 2011;25:612–9
Reimerink JJ, Hoornweg LL, Vahl AC, Wisselink W, van den Broek TA, Legemate DA, et al; Amsterdam Acute Aneurysm Trial Collaborators. Endovascular repair versus op