| Primary vs. Secondary Anastomosis for Superior Mesenteric Arterial Occlusion. | |
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MedLine Citation:
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PMID: 22580670 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Background/Aims: Superior mesenteric arterial occlusion (SMAO) often requires massive bowel resection. We compared primary anastomosis with open abdominal surgery and secondary anastomosis after enterostomy creation for the management of SMAO. Methodology: We retrospectively studied 27 patients who underwent massive bowel resection for SMAO; the patients were divided into 2 groups depending on the operative procedure: primary anastomosis with open abdominal surgery (P group) and secondary anastomosis after enterostomy creation (S group). Results: The mean duration from the initial operation to final operation (closure of open abdomen or closure of enterostomy) was significantly shorter in the P group (4.6±0.9 days) than in the S group (26.8±9.4 days) (p<0.0001). No disease recurrence was observed in either group; however, 2 patients died of multiple organ failure in the S group. Conclusions: Primary anastomosis with open abdominal surgery is useful for patients with low acute physiology and chronic health evaluation (APACHE) II scores and secondary anastomosis should be performed in patients with high APACHE II scores. Further, it is important to perform timely enterostomy closure on the basis of precise examination of blood flow in the remnant bowel to avoid deterioration in the patients' quality of life. |
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Authors:
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Takatsugu Oida; Kenji Mimatsu; Hiso Kano; Atsushi Kawasaki; Youichi Kuboi; Nobutada Fukino; Kazutoshi Kida; Sadao Amano |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 59 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2012 Jul-Aug |
Date Detail:
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Created Date: 2012-05-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: Greece |
Other Details:
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Languages: eng Pagination: 1160-3 Citation Subset: IM |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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