Document Detail


Endoscopy-based early enterostomy closure for superior mesenteric arterial occlusion.
MedLine Citation:
PMID:  20180239     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To evaluate the efficacy of endoscopic examination of blood flow and edema in the remnant bowel. METHODS: We retrospectively studied 15 patients who underwent massive bowel resection with enterostomy for superior mesenteric arterial occlusion (SMAO); the patients were divided into a delayed closure group (D group) and an early closure group (E group). RESULTS: The mean duration from initial operation to enterostomy closure was significantly shorter in the E group (18.3 +/- 2.1 d) than in the D group (34.3 +/- 5.9 d) (P < 0.0001). The duration of hospitalization after surgery was significantly shorter in the E group (33 +/- 2.2 d) than in the D group (51 +/- 8.9 d) (P < 0.0002). CONCLUSION: Endoscopic examination of blood flow and edema in the remnant bowel is useful to assess the feasibility of early closure of enterostomy in SMAO cases.
Authors:
Takatsugu Oida; Hisao Kano; Kenji Mimatsu; Atsushi Kawasaki; Youichi Kuboi; Nobutada Fukino; Sadao Amano
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  16     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-24     Completed Date:  2010-05-03     Revised Date:  2010-09-28    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  992-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Social Insurance Yokohama Central Hospital, 268 Yamashita-cho, Naka-ku, Yokohama 231-8553, Japan. ooida.takatsugu@yokochu.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Endoscopy / methods*
Enterostomy / methods*
Female
Humans
Male
Mesenteric Artery, Superior* / pathology,  surgery
Mesenteric Vascular Occlusion / surgery*
Mesentery / blood supply,  surgery*
Middle Aged
Regional Blood Flow
Retrospective Studies
Time Factors
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