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. 2010 Feb 28;16(8):992-6.
doi: 10.3748/wjg.v16.i8.992.

Endoscopy-based early enterostomy closure for superior mesenteric arterial occlusion

Takatsugu Oida  1 , Hisao Kano, Kenji Mimatsu, Atsushi Kawasaki, Youichi Kuboi, Nobutada Fukino, Sadao Amano
Affiliations

Endoscopy-based early enterostomy closure for superior mesenteric arterial occlusion

Takatsugu Oida et al. World J Gastroenterol. .

Abstract

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.

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Figures

Figure 1
Figure 1
Endoscopic inspection of remnant bowel. Endoscopic examination revealed that sufficient blood flow had been retained and edema had subsided in the remnant bowel.
See this image and copyright information in PMC

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