During the past 6 ycars, 6 cases of superior mesenteric artery occlusion were confirmed by abdominal exploration and treated with operation at Department of General Surgery, Yonsei University Wonju College of Medicine.
@ES A clinical analysis was performed and the results were as follows;
@EN 1) The patients were between 49 and 76 years old and mean age was 62.2 years old.
2) Male to female ratio was 1.5.
3) All patients were admitted through emergency room due to abdominal pain and 4 cases combined with shock.
4) All patients were admitted within 20 hours, a days after onset of symptoms, and operated immediately after admission.
5) All patients had cardiovascular abnormality. Three cases had myocardial ischemia, two cases had atrial fibrillation and one case had only sinus tachycardia. And on past history, three patient had hypertension history.
6) In clinical manifestation, all patients had abdominal pain and distension, three patient had vomiting. Moderate to severe leukocytosis between 15,000-25,000/㎟ was noted in four cases and leukopenia between 2,600-3.100/㎟ in two cases.
7) 5 cases, massive small bowel resection including right hemicolectomy was performed. And one case was performed resection of right colon withileum 100 cm, end jejunostomy.
8) Based on pathologic reports, arterial thrombosis was found in three cases, ischemic infarction in two cases, submucosal edema with serosal hyperemia in one case.
9) Survival patients were 3 cases and operative mortality was 3 cases. During follow up, survival patients were satisfactory condition after operation except diarrhea that not easily controlled with conservative management.
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