Search

To highlight predictors of mortality in acute mesenteric ischemia (AMI) by conducting a meta-analysis of all relevant published studies. PubMed, Cochrane, and Google Scholar were searched from their inception till October 31, 2021. Studies evaluating predictors of mortality were selected. Only those factors were selected for meta-analysis that was reported by at least four studies. Meta-analysis was performed on selected factors using the random-effects model by using Revman 5.3 software. Fifty-one studies were included evaluating 10,425 patients of AMI. Studies selected had a low risk of bias (Median = 7). Thirty-three factors were evaluated in our review. Age (OR 1.17, 95% CI 1.08-1.27), chronic renal disease (OR 2.47, 95% CI 1.37-4.45), patient dependency (OR 3.01, 95% CI 1.95-4.65), arrhythmias (OR 1.93, 95% CI 1.38-2.69), cardiac failure (OR 2.28, 95% CI 1.57-3.31), hypotension (OR 3.44, 95% CI 1.81-6.54), large bowel involvement (OR 2.98, 95% CI 1.44-6.17), small and large bowel involvement (OR 1.86, 95% CI 1.23-2.81), creatinine (OR 1.67, 95% CI 1.27-2.20), lactate (OR 1.43, 95% CI 1.26-1.62), delay to surgery (OR 2.51, 95% CI 1.58-3.99) and inotropes (OR 3.79, 95% CI 1.47-9.77) were significantly associated with mortality. On the contrary bowel wall thickening (OR 0.53, 95% CI 0.38-0.88), anticoagulation (OR 0.27, 95% CI 0.10-0.74), and revascularization (OR 0.30, 95% CI 0.13-0.69) were significantly associated with survival. In conclusion, Age, chronic renal disease, diabetes, patient dependency, arrhythmias, cardiac failure, hypotension, large bowel involvement, small & large bowel involvement, creatinine, lactate, delay to surgery, and inotropes were significantly associated with mortality while anticoagulants, revascularization and bowel thickening on CT was associated with decreased mortality. [ABSTRACT FROM AUTHOR]

Background: Until recently, the small bowel was considered to be inaccessible using conventional endoscopy techniques. In 2001, the balloon enteroscopy system to examine the small bowel was introduced. Single balloon enteroscopy versus push enteroscopy for small bowel diagnostics are 2 types of commonly used balloon-assisted enteroscopic techniques for "deep enteroscopy. Objective: To perform a systematic review and meta-analysis to assess the efficacy and safety of single balloon enteroscopy versus push enteroscopy for small bowel bleeding assessment. Methods: A systematic search strategy was performed to determine the related literature. Initially, the objectives of review were identified: specifically, impact of single balloon enteroscopy vs push enteroscopy for small bowel diseases. These databases were searched for articles published in English in data bases [Pubmed – Google Scholar- Science direct] and Boolean operators (AND, OR, NOT) had been used such as [Impact AND Single Balloon AND Push AND Small Bowel OR GIT] and in peer-reviewed articles between 2000 and 2021. Conclusion: Our meta-analysis indicated that both single balloon technique and push enteroscopy techniques are safe procedures with rare complications, with the single balloon technique having higher diagnostic and therapeutic yields compared with the push technique. [ABSTRACT FROM AUTHOR]

Reviews the book "Atlas of Enteroscopy," by Ludwig Demling.