PMID: 8601240Apr 1, 1996Paper

The relationship between sigmoidal intramucosal pH and intestinal arterial occlusion during aortic reconstructive surgery

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
T KlokC Keijer

Abstract

To investigate the effects of perioperative occlusion of intestinal arteries on clinical outcome and changes in sigmoidal intramuscular pH (pHi). To determine the value of sigmoidal pHi measurement in predicting ischaemic colitis after aortic reconstructive surgery. Prospective, non-selective, open study. Forty patients undergoing elective aortic infrarenal surgery were monitored with pHi. Pre- and postoperative digital venous subtraction angiography was combined with operative data to evaluate perioperative occlusion of intestinal arteries. All patients had a significant (p< 0.05) drop in pHi after aortic clamping which returned to baseline 2-4 h after declamping. None of the patients had clinical signs of ischaemic colitis postoperatively. All patients had angiographically proven, patent superior mesenteric arteries pre- and postoperatively. Patients were divided into three groups: patients with no changes in intestinal arteries (n=13), patients with perioperative occlusion of the inferior mesenteric artery (n=22) and patients with perioperative occlusion of the inferior mesenteric and one or both iliac arteries (n = 5); there were no significant differences in pHi values between the groups. Return of the sigmoidal pHi to bas...Continue Reading

References

Nov 1, 1984·The British Journal of Surgery·M CrowsonG Slaney
Jul 1, 1982·The Journal of Surgical Research·R G Fiddian-GreenW M Whitehouse
Mar 1, 1983·American Journal of Surgery·M W KimT J Whelan
Mar 6, 1993·Lancet·J N Davies
Apr 22, 1993·The New England Journal of Medicine·C B Ernst

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Citations

Apr 1, 2006·Diseases of the Colon and Rectum·Monica MillanSalvador Lledo
Mar 13, 2002·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·D RittooR K Vohra
May 5, 2006·Current Opinion in Critical Care·Jacques Creteur
Jan 15, 2005·Intensive Care Medicine·Alexandre Toledo MacielJean-Louis Vincent
Mar 4, 1999·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R PararajasingamR D Sayers
Sep 14, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M BjörckD Bergqvist

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