Die ischamische Kolitis als Komplikation nach Rekonstruktion an der Aortenbifurkation. [Ischemic colitis as a complication after reconstruction of the aortic bifurcation]

Détails

ID Serval
serval:BIB_C21DF7555FA4
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Die ischamische Kolitis als Komplikation nach Rekonstruktion an der Aortenbifurkation. [Ischemic colitis as a complication after reconstruction of the aortic bifurcation]
Périodique
Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie
Auteur(s)
Givel  J. C.
ISSN
0173-0541 (Print)
Statut éditorial
Publié
Date de publication
1990
Pages
335-40
Notes
English Abstract
Journal Article
Résumé
Reconstructive surgery of the aortoiliac junction often requires interruption of the inferior mesenteric artery. Ischaemic colitis following this type of surgery occurs in 15-20% of cases, most often in the splenic flexure and the sigmoid colon. It is caused by general haemodynamic factors and/or atherosclerotic changes in the intestinal arteries. Clinical symptoms are often subtle or atypical and the diagnosis is difficult. However intestinal ischaemia causes considerable morbidity and mortality. Around 1000 aortoiliac reconstructive procedures were performed, with a 2.8% incidence of post-operative colonic ischaemia. The two most important risk factors were hypovolemia and ligation of the inferior mesenteric artery.
Mots-clé
Aged Aortic Aneurysm/*surgery Aortic Rupture/*surgery Colitis/etiology/*surgery Colon/*blood supply Female Humans Ischemia/etiology/*surgery Male Necrosis Postoperative Complications/etiology/*surgery Rectum/blood supply Reoperation
Pubmed
Web of science
Création de la notice
28/01/2008 9:56
Dernière modification de la notice
03/03/2018 21:09
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