Table 5.
Secondary management after initial treatment with curative intention
| All n = 372a |
Arterial n = 205a |
Venous n = 72a |
NOMI n = 47a |
Otherb n = 9a |
Unclear n = 39a |
|
|---|---|---|---|---|---|---|
| No secondary intervention, n (%) | 218 (58.7) | 114 (55.6) | 63 (87.5) | 22 (46.8) | 1 (11.1) | 18 (46.2) |
| Second look planned | 127 (34.1) | 83 (40.5) | 11 (15.3) | 12 (25.5) | 5 (55.6) | 16 (41) |
| Preplanned second look performed | 93 (24.9) | 56 (27.3) | 8 (11.1) | 12 (25.5) | 5 (55.6) | 12 (30.8) |
| Resulted in secondary bowel resection | 43 (11.5) | 26 (12.7) | 3 (4.2) | 5 (10.6) | 4 (44.4) | 5 (12.8) |
| Bowel resection, n (%) | 66 (17.7) | 41 (20) | 6 (8.3) | 7 (15.2) | 6 (66.7) | 6 (15.4) |
| After initial endovascular treatment n = 54 | 12 (3.2) | 12 (5.9) | – | – | – | – |
| After surgical and endovascular treatment n = 25 | 10 (2.7) | 7 (3.4) | – | 1 (2.1) | 2 (22.2) | – |
| After initial surgery with revascularization n = 34 | 9 (2.4) | 8 (3.9) | – | – | 1 (11.1) | – |
| After initial bowel resection n = 134 | 29 (7.8) | 10 (4.9) | 5 (6.9) | 5 (10.6) | 3 (33.3) | 6 (15.4) |
| After explorative laparoscopy/laparotomy n = 49 | 2 (0.5) | 2 (1) | – | – | – | – |
| After initial conservative treatment n = 76 | 6 (1.6) | 4 (2.0) | 1 (1.4) | 1 (2.1) | – | – |
| End-of-life care, n (%) | 88 (23.6) | 50 (24.4) | 3 (4.2) | 18 (39.1) | 2 (22.2) | 15 (38.5) |
NOMI non-occlusive mesenteric ischaemia
aOnly patients with initial treatment with curative intention (any method) were included in this analysis, patients in whom end-of-life care was initiated without an attempt of any treatment with curative intention, were excluded
bOther included specific mechanisms such as dissection, bowel distortion, mechanical devices for cardiac support and abdominal compartment syndrome