Role of preoperative angiography in colon interposition surgery.
OBJECTIVE
The aim of this study was to evaluate the role of preoperative angiography in patients undergoing colonic interposition.


METHODS
We searched the electronic database of our radiology department for the term "mesenteric angiography" over a 10-year period from January 1, 2001 to December 31, 2010.


RESULTS
We identified 54 patients who had undergone mesenteric angiography before esophageal reconstruction, 16 of whom proceeded to have colonic interposition surgery. One patient (6.3%) developed graft necrosis, two (12.5%) developed an anastomotic leak, and three (18.8%) developed an anastomotic stricture. These complication rates are similar to those reported in the surgical literature for patients who did or did not undergo routine preoperative angiography.


CONCLUSIONS
There is no significant difference in the rates of complications secondary to ischemia (graft necrosis, anastomotic stricture, and anastomotic leak) in patients who undergo routine preoperative angiography as compared with those who do not.
Division of Vascular Imaging and Interventions, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Shaunagh
S
McDermott
Amy
A
Deipolyi
Thomas
T
Walker
Suvranu
S
Ganguli
Stephan
S
Wicky
Rahmi
R
Oklu
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D003106:Colon / Q000098:blood supply* / Q000637:transplantation*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008643:Mesentery / Q000098:blood supply* / Q000000981:diagnostic imaging*; D008875:Middle Aged; D011300:Preoperative Care; D012189:Retrospective Studies