Ulus Travma Acil Cerrahi Derg. 2017; 23(4): 301-305 | DOI: 10.5505/tjtes.2016.00701

Akut mezenter iskemide prognostik faktörler ve Mannheim peritonit indeksi ve trombosit/lenfosit oraný ile deðerlendirilmesi

Eyüp Murat Yýlmaz, Erdem Barýþ Cartý
Adnan Menderes Üniversitesi Týp Fakültesi, Genel Cerrahi Anabilim Dalý, Aydýn

AMAÇ: Akut mezenter iskemi (AMÝ), tanýsý geç konan ve mortalitesi oldukça yüksek bir hastalýktýr. Mannheim peritonit indeksi (MPÝ) ve trombosit/lenfosit (T/L) oranýnýn akut mezenter iskeminin prognozu üzerine etkisini araþtýrmak.
GEREÇ VE YÖNTEM: Akut mezenter iskemi tanýsý konan 34 hastanýn dosyalarý, Eylül 2014–Nisan 2016 tarihleri arasýnda geriye dönük olarak tarandý. Hastalar hayatýný kaybeden ve kaybetmeyen diye iki gruba ayrýldý. Hastalarýn MPÝ ve T/L oranlarý, demografik verileri, yatýþ süreleri kaydedilip karþýlaþtýrýldý.
BULGULAR: Hastalarýn 19’u erkek (%55.9), 15’i kadýn (%44.1) olarak saptandý. Toplam 15 hasta hayatýný kaybederken (%44.1),19 hasta (%55.9) saðlýklý taburcu edildi. Mannheim periton indekslerine bakýldýðýnda ise hayatýný kaybeden hastalarda ortalama deðer 21.13±7.55 bulunurken, hayatýný kaybetmeyen hastalarda 16.00±5.24 olarak saptandý (p=0.026). Trombosit/lenfosit oranlarýna bakýldýðýnda hayatýný kaybetmeyen grupta 288.48±233.01 saptanýrken hayatýný kaybeden grupta ise 373.82±389.62 olarak bulundu (p=0.045).
TARTIÞMA: Akut mezenter iskemi tablosunda, prognozu ön görmede MPÝ ve T/L oranlarý basit ve güvenilir yöntemlerdir.

Anahtar Kelimeler: Mezenter iskemi, mannheim peritonit indeksi, platelet/lenfosit oraný.

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Prognostic factors in acute mesenteric ischemia and evaluation with Mannheim Peritonitis Index and platelet-to-lymphocyte ratio

Eyüp Murat Yýlmaz, Erdem Barýþ Cartý
Department of General Surgery, Adnan Menderes University Faculty of Medicine, Aydýn-Turkey

BACKGROUND: Acute mesenteric ischemia (AMI) is a disease that has a very high mortality rate and for which the diagnosis is frequently delayed. The aim of the present study was to assess the predictive value of the Mannheim Peritonitis Index (MPI) and platelet-to-lymphocyte (P/L) ratio in the prognosis of AMI.
METHODS: The files of 34 patients diagnosed with AMI between September 2014 and April 2016 were retrospectively examined. The patients were divided into 2 groups based on survival. The parameters of MPI and P/L ratio, demographic data, and duration of hospitalization were recorded and compared.
RESULTS: In all, 19 (55.9%) patients were male, and 15 (44.1%) were female. Total of 19 patients (55.9%) were discharged with a complete recovery, while 15 (44.1%) died. MPI mean value was 21.13±7.55 and 16.00±5.24 in those who died and survived, respectively (p=0.026). P/L ratio was 288.48±233.01 and 373.82±389.62 in those who survived and died, respectively (p=0.045).
CONCLUSION: MPI and P/L ratio are simple and reliable methods to predict the prognosis of AMI.

Keywords: Mesenteric Ischemia, mannheim peritonitis index, platelet/lymphocyte ratio.

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