• Ulus Travma Acil Cer · Jul 2017

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

    • Eyüp Murat Yılmaz and Erdem Barış Cartı.
    • Department of General Surgery, Adnan Menderes University Faculty of Medicine, Aydın-Turkey. drmyilmaz80@gmail.com.
    • Ulus Travma Acil Cer. 2017 Jul 1; 23 (4): 301-305.

    BackgroundAcute 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.MethodsThe 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.ResultsIn 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).ConclusionMPI and P/L ratio are simple and reliable methods to predict the prognosis of AMI.

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