Surgical treatment of ischemic colitis in patients with abdominal aortic aneurysm
Sukharev, I.I.; Cherniak, V.A.; Nikulńikov, P.I.; Polinkevich, B.S.; Zhane, A.K.
Khirurgiia 2: 57-59
1993
ISSN/ISBN: 0023-1207 PMID: 8084154 Document Number: 406635
The authors suggest an original method for revascularization of the inferior mesenteric artery for the prevention and treatment of ischemic colopathy in operative treatment of abdominal aortic aneurysm. The essence of the method consists in shunting the blood flow from the channel of the celiac trunk by anastomosing the right gastroepiploic artery with the inferior mesenteric artery by the end-to-end techniques. Topographoanatomical studies of the right gastroepiploic and inferior mesenteric arteries were conducted on 22 cadavers for experimental substantiation of the suggested method. Besides that, selected angiograms of the celiac trunk and its branches were studied in 50 patients. The suggested method for revascularization of the inferior mesenteric artery in resection of aneurysm of the abdominal aorta with intraluminal prosthetics was applied in eight patients with good results.