Clinical features and progress of ischemic gastritis with high fatalities: Seven case reports

Table 1 Demographic and clinical data of seven patients

April 2016 to September 2021: n = 7 patients
Characteristics
Age	Mean age of 75 yr (range 53-90 yr)
Sex	Five men, two women
Chief complaint	Hematemesis: 7/7 (100%)
Shock at presentation	6/7 (86%)
Past medical history
Diabetes	2/7 (28%)
Dyslipidemia	2/7 (28%)
Hypertension	3/7 (43%)
Chronic kidney disease	3/7 (43%)
Hyperuricemia	1/7 (14%)
Heart failure	2/7 (28%)
Any vascular diseases	3/7 (43%)
Smoking	History of smoking: 2/7 (28%); never smoking: 4/7 (57%)
Medicine
Anticoagulants (warfarin)	1/7 (14%)
Antiplatelet (aspirin)	1/7 (14%)
Endoscopic findings
Distribution	Stomach: 3/7 (43%); esophagus to duodenum: 4/7 (57%)
Second endoscopy	1/7 (14%)
Patients undergoing CT scan before endoscopy	7/7 (100%) On the day: 3; 2 d before: 1; 3 d before: 1; 9 d before: 1; 14 d before: 1
CT findings	Wall thickening in the stomach: 4/7 (57%); mural emphysema in the stomach: 3/7 (43%)
	Calcification at the origin of the celiac artery: 2/7 (43%); compression of the celiac artery by the median arcuate ligament: 1/7 (14%)
Operation before illness onset	4/7 (57%) Splenectomy: 1; Aortic valve replacement: 1; Ascending aorta replacement: 1; Lung cancer operation and superior vena cava repair: 1
Treatment	Conservative treatment: 7/7 (100%)
Mechanical assistance	CHDF: 3/7 (43%)
Outcome	Death: 7/7 (100%)
Time from onset to death
1-14 d	5/7 (71%)
15-28 d	1/7 (14%)
-29 d	1/7 (14%)

CT: Computed tomography; CHDF: Continuous hemodiafiltration.