title: Early restoration of intestinal continuity in acute mesenteric ischaemia using Bishop-Koop stoma.
abstract: 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.
authors.affiliation: Scarborough General Hospital, Scarborough, UK. reza.arsalani@hotmail.co.uk
authors.forename: Reza
authors.initials: R
authors.lastname: Arsalani-Zadeh
authors.forename: Ramana
authors.initials: R
authors.lastname: Kallam
authors.forename: Shakeeb
authors.initials: S
authors.lastname: Khan
authors.forename: John
authors.initials: J
authors.lastname: Macfie
mesh_terms: 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