J.Jpn. Surg. Soc.. 87(9): 1105-1108, 1986

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Report on the annual meeting

THE SURGICAL CONSIDERATION OF THE MESENTERIC ISCHEMIA

Seventeen patients with acute mesenteric ischemia, 3 with chronic mesenteric ischemia, 1 with coeliac artery compression syndrome and 2 with sigmoid colon infarction have been treated during the past 20 years. The etiology of the acute mesenteric ischemia in 17 patients were arterial embolus (in 9 patients), arterial thrombosis (in 3 patients), venous thrombosis (in 2 patients), and the superior mesenteric artery occlusion resulting from angiography (in 3 patients). The mortality rate of massive bowel necrosis in 8 patients was 75%. Three patients were treated with both arterial reconstruction and resectional therapy and they all survived. One patient underwent embolectomy without bowel resection. Two patients were treated with bypass graft to the superior mesenteric artery and survived. There were three cases of chronic intestinal ischemia；two cases were treated with bypass grafting to superior mesenteric artery, one with both a bypass grafting to superior mesenteric artery and aorto-lienal artery anastomosis. These patients also survived.

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