Oida T, Kano H, Mimatsu K, Kawasaki A, Kuboi Y, Fukino N, Amano S. Endoscopy-based early enterostomy closure for superior mesenteric arterial occlusion. World J Gastroenterol 2010; 16(8): 992-996 [PMID: 20180239 DOI: 10.3748/wjg.v16.i8.992]
Corresponding Author of This Article
Takatsugu Oida, MD, PhD, Department of Surgery, Social Insurance Yokohama Central Hospital, 268 Yamashita-cho, Naka-ku, Yokohama 231-8553, Japan. ooida.takatsugu@yokochu.jp
Article-Type of This Article
Brief Article
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Takatsugu Oida, Hisao Kano, Kenji Mimatsu, Atsushi Kawasaki, Youichi Kuboi, Nobutada Fukino, Department of Surgery, Social Insurance Yokohama Central Hospital, 268 Yamashita-cho, Naka-ku, Yokohama 231-8553, Japan
Sadao Amano, Department of Surgery, Nihon University School of Medicine, 30-1, Kami-cho, Itabashi-ku, Tokyo 177-0023, Japan
Author contributions: Oida T, Mimatsu K, Kano H, Kawasaki A, Kuboi Y and Fukino N carried out the surgery and were consultants overseeing the patients’ care; Oida T wrote the manuscript; Amano S drafted the manuscript and revised it critically.
Correspondence to: Takatsugu Oida, MD, PhD, Department of Surgery, Social Insurance Yokohama Central Hospital, 268 Yamashita-cho, Naka-ku, Yokohama 231-8553, Japan. ooida.takatsugu@yokochu.jp
Telephone: +81-45-6411921 Fax: +81-45-6719872
Received: November 16, 2009 Revised: December 19, 2009 Accepted: December 26, 2009 Published online: February 28, 2010
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.
