Abstract
References
- 1) Abou-Ismail MY, Diamond A, Kapoor S, Arafah Y, Nayak L. The hypercoagulable state in COVID-19: incidence, pathophysiology, and management. Thrombosis Research 2020;194:101–115.
- 2) Song JC, Wang G, Zhang W, Zhang Y, Li WQ, Zhou Z, et al. Chinese expert consensus on diagnosis and treatment of coagulation dysfunction in COVID-19. Military Medical Research 2020;7:19:1.
- 3) Avila J, Long B, Holladay D, Gottlieb M. Thrombotic complications of COVID 19. The American Journal of Emergency Medicine 2021;39:213–218.
- 4) Moheb ME, Naar L, Christensen MA, Kapoen C, Maurer LR, Farhat M, et al. Gastrointestinal complications in critically ill patients with and without COVID-19. JAMA 2020;324:18:1899–1901.
- 5) Bala M, Kashuk J, Moore EE, Kluger Y, Biffl W, Gomes CA, et al. Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery. World Journal of Emergency Surgery 2017;12:38.
- 6) Heys SD, Brittenden J, Crofts TJ. Acute mesenteric ischaemia: the continuing difficulty in early diagnosis. Postgrad Med J 1993;69:48-51.
- 7) Lodigiani C, Iapichino G, Carenzo L, Cecconi M, Ferrazzi P, Sebastian T, et al. Venous and arterial thromboembolic complications in COVID-19 patients admitted to an academic hospital in Milan, Italy. Thromb Res 2020;191:9-14.
- 8) Kerawala AA, Das B, Solangi A. Mesenteric ischemia in COVID-19 patients: A review of current literature. World journal of clinical cases, 2021;9:18:4700-4708.
- 9) Parry AH, Wani AH, Yaseen M. Acute Mesenteric Ischemia in Severe Coronavirus-19 (COVID-19): Possible Mechanisms and Diagnostic Pathway. Acad Radiol 2020;27:1190.
- 10) Ribes A, Vardon-Bounes F, Memier V, Poette M, Au-Duong J, Garcia C, et al. Thromboembolic events and Covid19. Adv. Biol. Regul. 2020;77:100735.
- 11) Ignat M, Philouze G, Aussenac-Belle L, Faucher V, Collange O, Mutter D, et al. Small bowel ischemia and SARS-CoV-2 infection: an underdiagnosed distinct clinical entity, Surgery 2020;168:14-16.
- 12) Hansen KJ, Wilson DB, Craven TE, Pearce JD, English WP, Ayerdi J, et al. Mesenteric artery disease in the elderly. Journal of Vascular Surgery 2004;40:45-52.
- 13) Reginelli A, Genovese EA, Cappabianca S, Lacobellis F, Berritto D, Fonio P, et al. Intestinal ischemia: US-CT findings correlations. Crit Ultrasound J 2013;5(suppl 1):7.
- 14) Singh B, Kaur P. COVID-19 and acute mesenteric ischemia: A review of literature. Hematology, Transfusion and Cell Therapy 2021;43:112-116.
Abstract
İntroduction
Covid 19 (C19) disease causes mortal complications due to both respiratory system involvement and extrapulmonary involvement. C19 patients may present with gastrointestinal symptoms such as nausea-vomiting, diarrhea and loss of appetite, as well as serious conditions such as acute mesenteric ischemia. C19 disease is a proinflammatory condition that causes thrombus formation.
Material method
The first group (G1) was treated with 21 mesenteric ischemia cases operated in the General Surgery Department of Aksaray Training and Research Hospital in approximately two years between March 2020 and February 2022, and the second group (G2), in a two-year period between 2018-2020 before the pandemic, in the same department. The information of 11 mesenteric ischemia cases who underwent surgery were analyzed from the hospital information system. Statistically, the predisposing diseases, demographic data, intestinal lengths removed during the operation, and survival of the patients in both groups were compared.
Results
When the number of patients who were operated on in G1 and G2 were compared, it was seen that more patients were operated in G1. The probability of mesenteric ischemia in a 24-month period was found to be 0.875 in G1 and 0.458 in G2. These rates were statistically different (p=0.002). When the mean age, length of the removed bowel, and postoperative mortality of both groups were compared, no significant difference was found.
Conclusion
Although the exact mechanism by which the Covid 19 disease causes mesenteric ischemia is not understood, we observed a statistically significant increase in mesenteric ischemia cases during the pandemic period compared to the pre-pandemic return. Considering the Physiopathology of C19, it is known that the diseases in the body generally occur on the basis of vasculitis. When C19 infection is detected, we recommend anticoagulant treatment for at least 3 months during the infection and for the prevention of other complications related to vasculitis, especially mesenteric ischemia.
Keywords
References
- 1) Abou-Ismail MY, Diamond A, Kapoor S, Arafah Y, Nayak L. The hypercoagulable state in COVID-19: incidence, pathophysiology, and management. Thrombosis Research 2020;194:101–115.
- 2) Song JC, Wang G, Zhang W, Zhang Y, Li WQ, Zhou Z, et al. Chinese expert consensus on diagnosis and treatment of coagulation dysfunction in COVID-19. Military Medical Research 2020;7:19:1.
- 3) Avila J, Long B, Holladay D, Gottlieb M. Thrombotic complications of COVID 19. The American Journal of Emergency Medicine 2021;39:213–218.
- 4) Moheb ME, Naar L, Christensen MA, Kapoen C, Maurer LR, Farhat M, et al. Gastrointestinal complications in critically ill patients with and without COVID-19. JAMA 2020;324:18:1899–1901.
- 5) Bala M, Kashuk J, Moore EE, Kluger Y, Biffl W, Gomes CA, et al. Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery. World Journal of Emergency Surgery 2017;12:38.
- 6) Heys SD, Brittenden J, Crofts TJ. Acute mesenteric ischaemia: the continuing difficulty in early diagnosis. Postgrad Med J 1993;69:48-51.
- 7) Lodigiani C, Iapichino G, Carenzo L, Cecconi M, Ferrazzi P, Sebastian T, et al. Venous and arterial thromboembolic complications in COVID-19 patients admitted to an academic hospital in Milan, Italy. Thromb Res 2020;191:9-14.
- 8) Kerawala AA, Das B, Solangi A. Mesenteric ischemia in COVID-19 patients: A review of current literature. World journal of clinical cases, 2021;9:18:4700-4708.
- 9) Parry AH, Wani AH, Yaseen M. Acute Mesenteric Ischemia in Severe Coronavirus-19 (COVID-19): Possible Mechanisms and Diagnostic Pathway. Acad Radiol 2020;27:1190.
- 10) Ribes A, Vardon-Bounes F, Memier V, Poette M, Au-Duong J, Garcia C, et al. Thromboembolic events and Covid19. Adv. Biol. Regul. 2020;77:100735.
- 11) Ignat M, Philouze G, Aussenac-Belle L, Faucher V, Collange O, Mutter D, et al. Small bowel ischemia and SARS-CoV-2 infection: an underdiagnosed distinct clinical entity, Surgery 2020;168:14-16.
- 12) Hansen KJ, Wilson DB, Craven TE, Pearce JD, English WP, Ayerdi J, et al. Mesenteric artery disease in the elderly. Journal of Vascular Surgery 2004;40:45-52.
- 13) Reginelli A, Genovese EA, Cappabianca S, Lacobellis F, Berritto D, Fonio P, et al. Intestinal ischemia: US-CT findings correlations. Crit Ultrasound J 2013;5(suppl 1):7.
- 14) Singh B, Kaur P. COVID-19 and acute mesenteric ischemia: A review of literature. Hematology, Transfusion and Cell Therapy 2021;43:112-116.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Surgical Science Research Articles |
| Authors | |
| Early Pub Date | June 30, 2023 |
| Publication Date | June 30, 2023 |
| Acceptance Date | June 25, 2023 |
| Published in Issue | Year 2023 |