Abstract
Acute embolus occlusion of the superior mesenteric artery (SMA) either demonstrates a poor prognosis, or forces the patients to endure miserable postoperative dietary lives. Recently, we developed a new successful technique which reduced the length of the intestinal segment that had to be removed. The technique was as follows: (1) the distal end of the SMA was ligated to avoid perfusion of the necrotic segment, and (2) a Fogarty balloon catheter was inserted from the distal end of the SMA and then passed proximally to remove any remaining clots. Using the above-described technique on 3 cases from 1992 to 1994, we were thus able to shorten the length of the intestine that had to be removed and thereby greatly improve the patients' postoperative dietary lives.
Similar content being viewed by others
References
Hoch JR, Tullis MJ, Acher CW, Heisey DM, Crummy AB, McDermott JC, Wojtowycz M, Sproat IA, Turnipseed WD (1994) Thrombolysis versus surgery as the initial management for native artery occlusion: Efficacy, safety, and cost, Surgery 116:649–657
Adams JT (1969) Abdominal wall, omentum, mesentery, and retroperitoneum. In: Principles of surgery McGraw-Hill, New York, pp 491–1524
Imparato AM, Riles TS (1969) Peripheral arterial disease. In: Principles of Surgery McGraw-Hill, New York, pp 933–1010
Schneider TA, Longo WE, Ure T, Vernava AM (1994) Mesenteric ischemia. Acute arterial syndromes. Dis Colon Rectum 37:1163–1174
Parks DA, Granger DN (1979) Contributions of ischemia and reperfusion to mucosal lesion formation. Am J Physiol 247:G167
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Mimori, K., Mori, M., Morinaga, K. et al. A new approach for acute embolus occlusion of the superior mesenteric artery. Surg Today 26, 949–951 (1996). https://doi.org/10.1007/BF00311804
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00311804