Revascularisation arterielle digestive: resultats a long terme et approche chirurgicale modifiee. [Digestive arterial revascularization: long-term results and modified surgical approach]

Détails

ID Serval
serval:BIB_F1D9535614D3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Revascularisation arterielle digestive: resultats a long terme et approche chirurgicale modifiee. [Digestive arterial revascularization: long-term results and modified surgical approach]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur(s)
Abdesselam  N., von Segesser  L., Faidutti  B.
ISSN
0036-7672
Statut éditorial
Publié
Date de publication
07/1986
Peer-reviewed
Oui
Volume
116
Numéro
29
Pages
982-4
Notes
English Abstract
Journal Article --- Old month value: Jul 19
Résumé
In this series 31 patients (21 males and 10 females, median age 57 +/- 13.2 years) underwent surgery between 1970 and 1984 for digestive arterial lesions. Abdominal pain was observed in 84% of these cases and weight loss in 48%, while 8 patients were asymptomatic. In 12 patients (39%) the diagnosis was suspected before arteriography, which was the key to the diagnosis in 61% of cases (19 patients). In group A (elective surgery) 42 digestive arterial revascularizations were performed in 24 patients (mean number of effected by-passes 1.5). In group B (emergency surgery) 4 embolectomies and two by-passes were performed. In group A mortality (both surgery and hospital) was 0%. In group B surgical mortality was 33%. In a mean follow-up of 4.1 years the permeability of the by-pass established in elective surgery (emergency surgery) was 100% (64%) after one year and 92.9% (64%) after three years (life table analysis). Multiple digestive arterial revascularisations should be considered for those patients presenting multiple digestive arterial lesions because of catastrophical evolution of single by-pass occlusion in these patients.
Mots-clé
Aged Arterial Occlusive Diseases/mortality/radiography/*surgery *Blood Vessel Prosthesis Digestive System/*blood supply Emergencies Female Follow-Up Studies Graft Occlusion, Vascular Humans Male Middle Aged Prognosis
Pubmed
Web of science
Création de la notice
14/02/2008 15:16
Dernière modification de la notice
03/03/2018 22:39
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