Surgical therapy for acute superior mesenteric artery embolism

American Journal of Surgery
Hakan BingolDerviş Sen

Abstract

Acute mesenteric artery embolism has a high rate of morbidity and mortality. Early diagnosis and appropriate treatment are the most important factors associated with morbidity and mortality. During the period between 1997 and 2002, 24 patients underwent superior mesenteric artery embolectomy. The patients were divided into three groups according to the onset of symptoms and operation time. Group I (n = 12) patients were operated on in the first 6 hours after onset of symptoms; group II (n = 9) patients were operated on between 6 and 12 hours after onset; and group III (n = 3) patients underwent embolectomy after 12 hours. Low-dose (5 to 10 mg) local tissue-type plasminogen activator (t-PA) administration directly into the superior mesenteric artery was an additional procedure with the embolectomy in all patients. The macroscopic view of the intestine was normal in 15 patients (12 patients in group I and 3 patients in group II) 30 minutes after the administration of local t-PA. Segmental resection was necessary in 4 patients in group II. Extended resection was necessary in 2 patients in group II and 3 patients in group III, and all of the patients died during the early postoperative period. We suggest that explorative laparotomy...Continue Reading

References

Sep 1, 1977·Radiology·S L KaufmanS S Siegelman
Jul 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·H HessP Neller
Jul 1, 1996·The American Journal of Emergency Medicine·P J Leo, H G Simonian

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Citations

Jun 25, 2010·Cardiovascular and Interventional Radiology·Peter PopovičMatjaž Bunc
Nov 7, 2008·The Tohoku Journal of Experimental Medicine·Michael StamatakosMichael Safioleas
Jul 26, 2006·World Journal of Surgery·Maria Asuncion Acosta-MeridaJuan Maria Hernandez-Romero
Jul 31, 2013·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Gabriel Pérez BaztarricaRafael Porcile
Feb 16, 2010·The American Journal of Cardiology·Jan MenkeJörg Larsen
Apr 3, 2016·Vascular and Endovascular Surgery·Yang ZhaoGuangqi Chang
Feb 26, 2016·World Journal of Gastrointestinal Pathophysiology·Aikaterini MastorakiNikolaos Arkadopoulos
Dec 20, 2007·Journal of Clinical Gastroenterology·Koichiro SonodaShigeru Kohno
Oct 18, 2013·Radiology and Oncology·Dimitrij KuheljPeter Popovic
Jan 20, 2018·Journal of Vascular Surgery Cases and Innovative Techniques·Eduardo Keller SaadiCristiano Jaegger
May 30, 2012·Pediatrics·Edward M KielyPaolo De Coppi

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