J.Jpn. Surg. Soc.. 87(9): 1101-1104, 1986
Report on the annual meeting
CLINICAL FEATURES AND TREATMENT OF ISCHEMIC INTESTINAL DAMAGE.
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Second Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan Hiroyuki Katoh, Tatsuzo Tanabe |
1) Transient type was seen in 14 patients, stricture type in 6 and gangrene type in 3.
2) Patients ranged in age from 22 to 88 years old and two of them were under twenty years old.
3) Most of the lesions was seen in the left side of the colon.
4) Characteristic features of this disease in barium enema examination was thumb printing and in colonoscopical appearances was edematous-reddish mucosa and shallow irregular ulcerations.
II. Clinical analysis has been made of 25 patients with intestinal ischemia or infarction resulting from acute occlusion of the superior mesenteric artery.
1) Patients ranged in age from 43 to 89 years and only 2 were under age 50.
2) Of the 25 patients, 9 had emboli, 9 had severe athelosclerotic narrowing with superimposed acute thrombosis and 7 was unknown.
3) Resection of the most of the small intestine and right colon was performed in 6 and resection of the short segment of small intestine or colon was performed in 12.
4) Embolectomy or thrombectomy was carried out in 6 patients, being combined with intestinal resectin in 5.
5) As a result 8 of 25 patients survived.
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