Journal
AMERICAN JOURNAL OF GASTROENTEROLOGY
Volume 114, Issue 2, Pages 348-351Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1038/s41395-018-0389-9
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- Fondation de l'Avenir
- Societe Nationale Francaise de Gastro-Enterologie
- MSD-Avenir grant
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OBJECTIVES:To identify treatments likely to prevent progression towards irreversible transmural intestinal necrosis (ITIN) in acute mesenteric ischemia (AMI).METHODS:Prospective observational cohort study from a French intestinal stroke center. Multivariate analysis using a time-dependent Cox regression model.RESULTS:Between 2009 and 2015, 67 patients with AMI were included. ITIN occurred in 34% of patients and mortality was 13%. Oral antibiotics was independently associated with a decreased risk of ITIN (HR: 0.16 (95% CI=0.03-0.62); p=0.01).CONCLUSIONS:By decreasing luminal bacterial load and translocation, oral antibiotics in addition to early revascularization might reduce progression of AMI to ITIN.
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