title: [Prevention of ischemic colitis following aortic reconstruction: personal experience of the role of transmural oximetry in the decision for inferior mesenteric artery reimplantation].
abstract: BACKGROUND
  The colonic ischemic necrosis is one of the most serious complication in the surgical reconstruction of abdominal aorta aneurysm (AAA) due to surgical inappropriate binding of the inferior mesenteric artery (IMA).
  
  
  METHODS
  A retrospective analyzed of a group of 118 infrarenal AAA surgically treated is presented.
  
  
  RESULTS
  The most common cause of ischemic colitis (75% of cases) is the surgical binding of an opened IMA or its failed reimplantation.
  
  
  CONCLUSIONS
  In this paper according to their personal experience and the literature data, the authors outline a diagnostic behaviour to select the patients needing the reimplantation of IMA; they suggest to complete the pre operative information with an instrumental evaluation during the surgical treatment.
authors.affiliation: Dipartimento di Discipline Medico-Chirurgiche, Sezione di Chirurgia Generale ed Oncologica, Università degli Studi di Torino, Torino, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Panier Suffat
authors.forename: F
authors.initials: F
authors.lastname: Tridico
authors.forename: F
authors.initials: F
authors.lastname: Rebecchi
authors.forename: A
authors.initials: A
authors.lastname: Bianco
authors.forename: C
authors.initials: C
authors.lastname: Monticone
authors.forename: S
authors.initials: S
authors.lastname: Lanza
authors.forename: G
authors.initials: G
authors.lastname: Calello
authors.forename: L
authors.initials: L
authors.lastname: Contessa
authors.forename: C
authors.initials: C
authors.lastname: Giaccone
authors.forename: P
authors.initials: P
authors.lastname: Panier Suffat
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D017091:Colitis, Ischemic / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D017537:Mesenteric Artery, Inferior / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D012092:Replantation; D012189:Retrospective Studies; D016896:Treatment Outcome
vernacular_title: Prevenzione della colite ischemica successiva a ricostruzione aortica. Nostra esperienza sul ruolo della ossimetria transmurale nella decisione del reimpianto dell'arteria mesenterica inferiore (AMI).