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    "creator" : [ "Hsu, Angel", "Angel, John Fritz", "Stone, James R.", "Huber, Timothy C.", "Chan, Hing Kiu", "Bhattacharya, Kieran Ravi", "Gardner, Brian" ],
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      "@value" : "Background Abdominal exploration followed by vascular bypass has been the standard of care for acute mesenteric ischemia (AMI), but there is increasing use of endovascular treatment with selective exploratory laparotomy.\nMethods We performed a retrospective review of patients diagnosed with AMI who underwent mesenteric artery angioplasty or stenting at a single institution from 2010-2017. Patients were divided into 3 groups: those who did not undergo exploratory laparotomy; those who received endovascular treatment before laparotomy (post-reperfusion laparotomy group); and those who had endovascular treatment after laparotomy (pre-reperfusion laparotomy group).\nResults Patients who did not undergo exploratory laparotomy showed 85.7% (12/14) survival, compared with 63.6% (7/11) in the post-reperfusion group and 25.0% (2/8) in the pre-reperfusion group, P=0.077). Time to reperfusion was significant (P=0.009) in predicting survival for patients who underwent exploratory laparotomy.\nConclusion Emergent endovascular treatment prior to laparotomy seems to be associated with a higher survival.\nKeywords Acute mesenteric ischemia, endovascular therapy, stenting\nAnn Gastroenterol 2019; 32 (6): 600-604"
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