title: Colonic ischemia following surgery for sigmoid colon and rectal cancer: a study of 10 cases and a review of the literature.
abstract: OBJECTIVE
  Colonic ischemia following colorectal surgery is an unusual and serious complication. As it has been reported that the incidence of colonic ischemia was higher after laparoscopic surgery, the aim of this report was to document the clinical features of postoperative colonic ischemia following colorectal surgery.
  
  
  METHODS
  Among 1,201 surgeries for sigmoid colon and rectal cancer by a single surgeon from 2006 to 2010, 10 cases of postoperative colonic ischemia were retrospectively identified (0.83%). IMA high ligation was routinely made in all surgeries. The clinical findings and laboratory data of these 10 cases were evaluated.
  
  
  RESULTS
  Of the 10 patients, 9 were male and 1 was female. The mean age was 66.9 years old. The mean BMI was 23.3. Three patients (30%) had a cardiovascular disease other than hypertension. Eight patients (80%) underwent laparoscopic surgery and two patients (20%) underwent open surgery. Intraoperative bleeding occurred in five patients (50%, mean 435 ml). The average day for occurrence of postoperative colonic ischemia was on the 5th day (range 2nd-10th day). A consistent postoperative fever was found in eight patients (80%). Mortality due to postoperative colonic ischemia was 10%.
  
  
  CONCLUSIONS
  Postoperative colonic ischemia may be considered one of the more important complications of colorectal resection.
authors: Department of Surgery, Yonsei University College of Medicine, 250 Seongsanno(134 Sinchon-dong), Seodaemun-gu, Seoul 120-752, South Korea.
authors: Min Geun
authors: MG
authors: Park
authors: Hyuk
authors: H
authors: Hur
authors: Byung Soh
authors: BS
authors: Min
authors: Kang Young
authors: KY
authors: Lee
authors: Nam Kyu
authors: NK
authors: Kim
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017091:Colitis, Ischemic / Q000209:etiology*; D003106:Colon / Q000098:blood supply*; D012809:Colon, Sigmoid / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D016015:Logistic Models; D008297:Male; D017537:Mesenteric Artery, Inferior; D065666:Mesenteric Ischemia; D008875:Middle Aged; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D012811:Sigmoid Neoplasms / Q000601:surgery*; D014652:Vascular Diseases / Q000209:etiology*