Endoscopy-based early enterostomy closure for superior mesenteric arterial occlusion.
OBJECTIVE
To evaluate the efficacy of endoscopic examination of blood flow and edema in the remnant bowel.


METHODS
We retrospectively studied 15 patients who underwent massive bowel resection with enterostomy for superior mesenteric arterial occlusion (SMAO); the patients were divided into a delayed closure group (D group) and an early closure group (E group).


RESULTS
The mean duration from initial operation to enterostomy closure was significantly shorter in the E group (18.3 +/- 2.1 d) than in the D group (34.3 +/- 5.9 d) (P < 0.0001). The duration of hospitalization after surgery was significantly shorter in the E group (33 +/- 2.2 d) than in the D group (51 +/- 8.9 d) (P < 0.0002).


CONCLUSIONS
Endoscopic examination of blood flow and edema in the remnant bowel is useful to assess the feasibility of early closure of enterostomy in SMAO cases.
Oida
Takatsugu
T
Department of Surgery, Social Insurance Yokohama Central Hospital, 268 Yamashita-cho, Naka-ku, Yokohama 231-8553, Japan. ooida.takatsugu@yokochu.jp
Kano
Hisao
H
Mimatsu
Kenji
K
Kawasaki
Atsushi
A
Kuboi
Youichi
Y
Fukino
Nobutada
N
Amano
Sadao
S
D000368:Aged; D004724:Endoscopy / Q000379:methods*; D004766:Enterostomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000473:pathology / Q000601:surgery; D008641:Mesenteric Vascular Occlusion / Q000601:surgery*; D008643:Mesentery / Q000098:blood supply / Q000601:surgery*; D008875:Middle Aged; D012039:Regional Blood Flow; D012189:Retrospective Studies; D013997:Time Factors