[Acute mesenteric vascular occlusion, 4 year experiance in Sarajevo Clinical Centar of University (2004-2007)].

AIM The aim of this paper was to evaluate the success of the treatment of patients hospitalised with the diagnosis of Acute Mesenteric Vascular Occlusion (AMT). This research took place in the Clinical Centre University of Sarajevo during the period 2004-2007. A patient with the vascular disease in the bowels had a serious medical and surgical issue from the vascular and abdominal aspect. Issues that came with the vascular illness problem are prominent when referring to acute vascular disease that almost certainly isn't discovered on time. Less than 10% of cases were discovered before the appearance of reperfusion changes on bowels, so that they have chance to be treated by vascular surgeon with direct vascular approach on the blood vessels. The treatment of patients with acute vascular lesions needs to be confronted in the abdominal surgical manner of spare resection of the bowels in the terminal period of ischemia, and conservative treatment in the manner infusion of vasoactive substance; systematic use of anticoagulant therapy and postoperative profilactic therapy; vascular surgical therapy and repeated relaparotomy. The prognosis is poor. Death rate is from 24 to 45% in the worlds and in BiH it is over 60%. METHODS In total, 47 patients were treated with this diagnosis. Conservative therapy had 9 patients, and 38 are surgical treated. The average age was 65.82 years old. The youngest being 36, and the oldest 87. The death rate in total was 61.78%. In the group of those who chose not to be operated their death rate was 100%. Death rate of those who did operate is 52.88%. DISCUSSION To increase the number of patients who survive AMT it is necessary to improve the early diagnosis and to be aware of the pathology and early involvement of vascular surgery needs to be enabled. In the therapy that combine surgical-conservative therapeutically treatment of abdominal surgery should be applied where necessary. Spare resection of the bowels, systematic use of anticoagulant therapy, agresiv vasoactiv therapy and second look relaparotomy are stromgly recomended.