J.Jpn. Surg. Soc.. 87(9): 1117-1120, 1986
Report on the annual meeting
DIAGNOSIS AND TREATMENT OF ACUTE INTESTINAL ISCHEMIA
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Department of Surgery, Kitasato University, Sagamihara, Japan Toshitake Takahashi, Yoshiki Hiki, Hideo Atai*) |
Our cases in recent 8 years were shown below, according to Mishima’s classification.
1, acute occulusion of superior mesenteric artery 9 cases (5 death)
2, acute occulusion of superior mesenteric vein 5 cases (1 death)
3, acute non occulusive bowel infarction ？
4, ischemic colitis 43 cases (1 death)
Because definition of non occulusive type was not so strict in critical and terminal stage, true number of which were questionable. We thought that more detailed classification was necessary to clinical treatment. Only one case of arterial occulusion was sucessfully treated by embolectomy without bowel resection. Early selective angiography or early laparotomy was important to accurate diagnosis and treatment. Monitering of serum CPK and its isoenzyme was very useful method for decision of them. Colonoscopy was useful for diagnosis of ischemic colitis, most of which were transient type and surgical problem was relatively rare.
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