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Venous small bowel infarction: intraoperative laser Doppler flowmetry discriminates critical blood supply and spares bowel length.

Käser SA, Glauser PM, Maurer CA - Case Rep Med (2012)

Bottom Line: The pathological examination showed only 5 mm of vital mucosa to be left distal to the dissection margin.No further interventions were necessary.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of General, Visceral, Vascular and Thoracic Surgery, Hospital of Liestal, University of Basel, 4410 Liestal, Switzerland.

ABSTRACT
Introduction. In mesenteric infarction due to arterial occlusion, laser Doppler flowmetry and spectrometry are known reliable noninvasive methods for measuring microvascular blood flow and oxygen utilisation. Case Presentation. As an innovation we used these methods in a patient with acute extensive mesenteric infarction due to venous occlusion, occurring after radical right hemicolectomy. Aiming to avoid short bowel syndrome, we spared additional 110 cm of small bowel, instead of leaving only 80 centimetres of clinically viable small bowel in situ. The pathological examination showed only 5 mm of vital mucosa to be left distal to the dissection margin. No further interventions were necessary. Conclusion. Laser doppler flowmetry and spectrometry are potentially powerful methods to assist the surgeon's decision-making in critical venous mesenteric perfusion, thus having an important impact on clinical outcome.

No MeSH data available.


Related in: MedlinePlus

The histologic examination shows a haemorrhagic ischemic necrosis of the mucosa of the smaller intestine with a transmural congestion (corresponding to segment III in the other figures). Only 5 mm of vital mucosa was left next to the cut margin.
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fig3: The histologic examination shows a haemorrhagic ischemic necrosis of the mucosa of the smaller intestine with a transmural congestion (corresponding to segment III in the other figures). Only 5 mm of vital mucosa was left next to the cut margin.

Mentions: The histological examination showed the haemorrhagic ischemic necrosis reaching to the cut margin as near as 5 mm (Figure 3).


Venous small bowel infarction: intraoperative laser Doppler flowmetry discriminates critical blood supply and spares bowel length.

Käser SA, Glauser PM, Maurer CA - Case Rep Med (2012)

The histologic examination shows a haemorrhagic ischemic necrosis of the mucosa of the smaller intestine with a transmural congestion (corresponding to segment III in the other figures). Only 5 mm of vital mucosa was left next to the cut margin.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3475002&req=5

fig3: The histologic examination shows a haemorrhagic ischemic necrosis of the mucosa of the smaller intestine with a transmural congestion (corresponding to segment III in the other figures). Only 5 mm of vital mucosa was left next to the cut margin.
Mentions: The histological examination showed the haemorrhagic ischemic necrosis reaching to the cut margin as near as 5 mm (Figure 3).

Bottom Line: The pathological examination showed only 5 mm of vital mucosa to be left distal to the dissection margin.No further interventions were necessary.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of General, Visceral, Vascular and Thoracic Surgery, Hospital of Liestal, University of Basel, 4410 Liestal, Switzerland.

ABSTRACT
Introduction. In mesenteric infarction due to arterial occlusion, laser Doppler flowmetry and spectrometry are known reliable noninvasive methods for measuring microvascular blood flow and oxygen utilisation. Case Presentation. As an innovation we used these methods in a patient with acute extensive mesenteric infarction due to venous occlusion, occurring after radical right hemicolectomy. Aiming to avoid short bowel syndrome, we spared additional 110 cm of small bowel, instead of leaving only 80 centimetres of clinically viable small bowel in situ. The pathological examination showed only 5 mm of vital mucosa to be left distal to the dissection margin. No further interventions were necessary. Conclusion. Laser doppler flowmetry and spectrometry are potentially powerful methods to assist the surgeon's decision-making in critical venous mesenteric perfusion, thus having an important impact on clinical outcome.

No MeSH data available.


Related in: MedlinePlus