Improved outcome by identification of high-risk nonocclusive @entity5327 , aggressive reexploration, and delayed XXXX .

@entity1 @entity254 @entity1188 @entity5327 @entity130
BACKGROUND: The factors associated with outcome of @entity1 with nonocclusive @entity5327 are poorly defined. METHODS: Over a 7-year period, 34 consecutive @entity1 with nonocclusive @entity5327 were identified. RESULTS: The mean age of the study @entity1 was 63 years (range 31 to 94); 21 of 34 (62%) were @entity1 . The mean delay in diagnosis was 31 hours (range 7 hours to 6 days). Seven of 34 (21%) underwent preoperative visceral arteriography. Two of these 7 required surgery, and both died as a result of @entity1188 . The remaining 27 had the diagnosis made at celiotomy. Among the 29 who were explored, 16 of 29 (55%) had @entity1188 . Twenty-one of 29 (72%) had @entity130 whereas 8 of 29 (28%) had @entity130 . Among those with segmental @entity1188 , primary @entity254 was performed in 12 of 21 @entity1 (57%); 5 of the 12 (42%) died. Nine of 21 @entity1 (43%) underwent delayed @entity254 ; 2 of the 9 (22%) died. No @entity1 with @entity130 underwent primary @entity254 . Second-look laparotomy was performed on 22 of 29 (76%). Eleven of those 22 (50%) had a further bowel resection. Overall, 16 of 29 (55%) who underwent surgery for nonocclusive @entity5327 are alive. CONCLUSIONS: Improved survival from nonocclusive @entity5327 is dependent upon the identification of high-risk groups, aggressive reexploration, and delayed intestinal @entity254 .
