Early restoration of intestinal continuity in acute mesenteric ischaemia using Bishop-Koop stoma.
BACKGROUND
Acute mesenteric ischaemia frequently requires extensive bowel resection. Primary anastomosis is unsafe necessitating exteriorisation of proximal small bowel and distal colon. Inevitably, therefore, patients are left with high output stomas with concomitant fluid and nutritional problems.


METHODS
We present two cases of acute mesenteric ischaemia both of which required extensive bowel resection. In both patients, we re-established intestinal continuity early by fashioning a Bishop-Koop type of reconstruction.


RESULTS
Both patients had uneventful postoperative recoveries with no stoma-related complication or anastomosis problems. Neither patient required prolonged parenteral therapy.


CONCLUSIONS
Bishop-Koop procedure may be used safely in a selected group of patients, with potential advantages of early restoration of intestinal continuity and easier closure.
Arsalani-Zadeh
Reza
R
Scarborough General Hospital, Scarborough, UK. reza.arsalani@hotmail.co.uk
Kallam
Ramana
R
Khan
Shakeeb
S
Macfie
John
J
D000208:Acute Disease; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D003106:Colon / Q000601:surgery; D005260:Female; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007583:Jejunum / Q000601:surgery; D008297:Male; D008643:Mesentery / Q000098:blood supply*; D008875:Middle Aged; D012778:Short Bowel Syndrome / Q000601:surgery; D054047:Surgical Stomas