Management and outcome of pneumatosis intestinalis

Melanie S. Morris, Arvin C. Gee, S. David Cho, Kevin Limbaugh, Samantha Underwood, Lyle (Bruce) Ham, Martin Schreiber

Research output: Contribution to journalArticle

84 Citations (Scopus)

Abstract

Background: Pneumatosis intestinalis (PI), infiltration of gas into the bowel wall, has traditionally been associated with immediate operative intervention and a high mortality rate. Methods: We retrospectively reviewed the diagnosis and management of pneumatosis in an attempt to characterize the disease, and examined management strategies. Results: Ninety-seven patients had a computed tomography (CT) diagnosis of pneumatosis. The location of pneumatosis was as follows: 46% colon, 27% small bowel, 5% stomach, and 7% both small and large bowel. Fourteen patients also had portal venous gas and 6 (43%) of these patients died. Management strategy was non-operative in 52%, operative in 33%, and futile care in 15%. The overall mortality rate was 22% (16% operative, 6% non-operative, and 87% futile). Patients who died had a higher mean APACHE II score (25 vs 11, P

Original languageEnglish (US)
Pages (from-to)679-683
Number of pages5
JournalAmerican Journal of Surgery
Volume195
Issue number5
DOIs
StatePublished - May 2008

Fingerprint

Gases
APACHE
Mortality
Disease Management
Stomach
Colon
Tomography

Keywords

  • Computed tomorgraphy
  • Laparotomy
  • Non-operative management
  • Pneumatosis intestinalis

ASJC Scopus subject areas

  • Surgery

Cite this

Management and outcome of pneumatosis intestinalis. / Morris, Melanie S.; Gee, Arvin C.; Cho, S. David; Limbaugh, Kevin; Underwood, Samantha; Ham, Lyle (Bruce); Schreiber, Martin.

In: American Journal of Surgery, Vol. 195, No. 5, 05.2008, p. 679-683.

Research output: Contribution to journalArticle

Morris, MS, Gee, AC, Cho, SD, Limbaugh, K, Underwood, S, Ham, LB & Schreiber, M 2008, 'Management and outcome of pneumatosis intestinalis', American Journal of Surgery, vol. 195, no. 5, pp. 679-683. https://doi.org/10.1016/j.amjsurg.2008.01.011
Morris MS, Gee AC, Cho SD, Limbaugh K, Underwood S, Ham LB et al. Management and outcome of pneumatosis intestinalis. American Journal of Surgery. 2008 May;195(5):679-683. https://doi.org/10.1016/j.amjsurg.2008.01.011
Morris, Melanie S. ; Gee, Arvin C. ; Cho, S. David ; Limbaugh, Kevin ; Underwood, Samantha ; Ham, Lyle (Bruce) ; Schreiber, Martin. / Management and outcome of pneumatosis intestinalis. In: American Journal of Surgery. 2008 ; Vol. 195, No. 5. pp. 679-683.
@article{e941e97561554b0fa19373e1ba0136df,
title = "Management and outcome of pneumatosis intestinalis",
abstract = "Background: Pneumatosis intestinalis (PI), infiltration of gas into the bowel wall, has traditionally been associated with immediate operative intervention and a high mortality rate. Methods: We retrospectively reviewed the diagnosis and management of pneumatosis in an attempt to characterize the disease, and examined management strategies. Results: Ninety-seven patients had a computed tomography (CT) diagnosis of pneumatosis. The location of pneumatosis was as follows: 46{\%} colon, 27{\%} small bowel, 5{\%} stomach, and 7{\%} both small and large bowel. Fourteen patients also had portal venous gas and 6 (43{\%}) of these patients died. Management strategy was non-operative in 52{\%}, operative in 33{\%}, and futile care in 15{\%}. The overall mortality rate was 22{\%} (16{\%} operative, 6{\%} non-operative, and 87{\%} futile). Patients who died had a higher mean APACHE II score (25 vs 11, P",
keywords = "Computed tomorgraphy, Laparotomy, Non-operative management, Pneumatosis intestinalis",
author = "Morris, {Melanie S.} and Gee, {Arvin C.} and Cho, {S. David} and Kevin Limbaugh and Samantha Underwood and Ham, {Lyle (Bruce)} and Martin Schreiber",
year = "2008",
month = "5",
doi = "10.1016/j.amjsurg.2008.01.011",
language = "English (US)",
volume = "195",
pages = "679--683",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Management and outcome of pneumatosis intestinalis

AU - Morris, Melanie S.

AU - Gee, Arvin C.

AU - Cho, S. David

AU - Limbaugh, Kevin

AU - Underwood, Samantha

AU - Ham, Lyle (Bruce)

AU - Schreiber, Martin

PY - 2008/5

Y1 - 2008/5

N2 - Background: Pneumatosis intestinalis (PI), infiltration of gas into the bowel wall, has traditionally been associated with immediate operative intervention and a high mortality rate. Methods: We retrospectively reviewed the diagnosis and management of pneumatosis in an attempt to characterize the disease, and examined management strategies. Results: Ninety-seven patients had a computed tomography (CT) diagnosis of pneumatosis. The location of pneumatosis was as follows: 46% colon, 27% small bowel, 5% stomach, and 7% both small and large bowel. Fourteen patients also had portal venous gas and 6 (43%) of these patients died. Management strategy was non-operative in 52%, operative in 33%, and futile care in 15%. The overall mortality rate was 22% (16% operative, 6% non-operative, and 87% futile). Patients who died had a higher mean APACHE II score (25 vs 11, P

AB - Background: Pneumatosis intestinalis (PI), infiltration of gas into the bowel wall, has traditionally been associated with immediate operative intervention and a high mortality rate. Methods: We retrospectively reviewed the diagnosis and management of pneumatosis in an attempt to characterize the disease, and examined management strategies. Results: Ninety-seven patients had a computed tomography (CT) diagnosis of pneumatosis. The location of pneumatosis was as follows: 46% colon, 27% small bowel, 5% stomach, and 7% both small and large bowel. Fourteen patients also had portal venous gas and 6 (43%) of these patients died. Management strategy was non-operative in 52%, operative in 33%, and futile care in 15%. The overall mortality rate was 22% (16% operative, 6% non-operative, and 87% futile). Patients who died had a higher mean APACHE II score (25 vs 11, P

KW - Computed tomorgraphy

KW - Laparotomy

KW - Non-operative management

KW - Pneumatosis intestinalis

UR - http://www.scopus.com/inward/record.url?scp=42049084144&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=42049084144&partnerID=8YFLogxK

U2 - 10.1016/j.amjsurg.2008.01.011

DO - 10.1016/j.amjsurg.2008.01.011

M3 - Article

C2 - 18424288

AN - SCOPUS:42049084144

VL - 195

SP - 679

EP - 683

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 5

ER -