Replanting the inferior mesentery artery during infrarenal aortic aneurysm repair: influence on postoperative colon ischemia

Journal of Vascular Surgery
Christian SenekowitschGeorg W Hagmüller

Abstract

Replanting the inferior mesentery artery (IMA) to prevent ischemic colitis (IC) has been discussed for many years; yet, to our knowledge, no prospective studies have been conducted to compare the incidence of histologically proven IC in patients with and without IMA revascularization. The aim of this prospective study, with histologic evaluation of the sigmoid colon mucosa, was to assess the influence of replanting the IMA on IC and mortality. From January 1999 to December 2003, 160 consecutive patients who were operated on for a symptomatic (n = 21) or asymptomatic (n = 139) infrarenal aortic aneurysm were prospectively assessed and randomly assigned either to replanting or ligating the IMA. Sigmoidoscopy with biopsy was performed on day 4 or 5 after surgery; an autopsy was performed on patients not surviving to day 5 after surgery. All patients gave written informed consent. Of the 160 randomized patients, 128 had a confirmed patent IMA and formed the basis of this study. Their age was 70 +/- 8 years (men, 70 +/- 8 years; women, 73 +/- 7 years). The IMA was replanted in 67 patients (52%) and ligated in 61 (48%) intraoperatively. IC developed in six patients with a replanted IMA and in 10 with a ligated IMA (relative risk [RR]...Continue Reading

References

Dec 1, 1987·American Journal of Surgery·J I IliopoulosA S Hermreck
Jan 12, 1999·Journal of Vascular Surgery·J A LevisonJ R Cohen
Feb 7, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T HoueT V Schroeder
Feb 24, 2001·Shock·H T HassounF A Moore
Apr 9, 2004·Journal of Vascular Surgery·Bradley J ChampagneDhiraj M Shah
Oct 9, 2004·Journal of Vascular Surgery·Thomas S MaldonadoThomas S Riles
Nov 24, 2004·Journal of Vascular Surgery·Wayne W ZhangMaciej L Dryjski

❮ Previous
Next ❯

Citations

Jul 5, 2011·Annals of Vascular Surgery·Stéphanie DarrasYann Goueffic
May 29, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Kiyohito YamamotoMasayuki Sugimoto
Sep 24, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·K NowakK Horisberger
Jun 18, 2014·Interventional Medicine & Applied Science·Jakub KaczynskiLouis Fligelstone
Feb 5, 2008·Journal of Vascular Surgery·Jean-Pierre BecqueminFrançoise Roudot-Thoraval
Mar 25, 2009·Journal of Vascular Surgery·Isabelle Di CentaOlivier Goëau-Brissonnière
Oct 14, 2009·Journal of Vascular Surgery·Elliot L ChaikofUNKNOWN Society for Vascular Surgery
Sep 30, 2009·Journal of Vascular Surgery·Elliot L ChaikofFrank J Veith
Aug 8, 2014·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Konstantinos P DonasGeorgios A Pitoulias
Feb 11, 2015·Microvascular Research·Zsolt TurócziAttila Szijártó
Nov 3, 2016·World Journal of Surgery·Lazar B DavidovicPerica Mutavdzic
May 21, 2010·Vascular and Endovascular Surgery·Giorgos S SfyroerasAthanassios D Giannoukas
Jul 6, 2017·Vascular and Endovascular Surgery·Thomas KotsisIoannis Papaconstantinou
Oct 16, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Martijn L DijkstraMichel M P J Reijnen
Feb 15, 2019·Circulation Research·Nicholas J SwerdlowMarc L Schermerhorn
Feb 1, 2020·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Dmitriy I DovzhanskiyDittmar Böckler
Feb 2, 2011·Circulation Journal : Official Journal of the Japanese Circulation Society·Akio KodamaKimihiro Komori
Dec 19, 2020·Annals of Vascular Surgery·Gabriele PiffarettiMarco Franchin
Jan 19, 2020·Annals of Vascular Surgery·Arjun JayarajMark D Fleming
Jan 20, 2018·Journal of Vascular Surgery Cases and Innovative Techniques·Nathan M DrozLouisa Pecchioni
Mar 10, 2019·Journal of Vascular Surgery·Merve GurakarMahmoud B Malas
Feb 11, 2020·Journal of Vascular Surgery·Andreas M LazarisNicos Labropoulos

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.