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Review article Surg Endosc (1998) 12: 390–393 © Springer-Verlag New York Inc. 1998 G. Zamir, P. Reissman Department of General Surgery, Hadassah University Hospital, P.O. Box 12000, Jerusalem 91120, Israel Received: 9 July 1997/Accepted: 22 September 1997 With the development of laparoscopic surgical procedures, ischemia are usually secondary to hypercoagulable states or laparoscopy has become increasingly popular as a diagnos- abdominal sepsis, or they may be idiopathic. tic tool. Commonly indications for diagnostic laparoscopy The extent of bowel involvement also varies according include preoperative findings of abdominal malignancies to the underlying etiology. Emboli and thromboses of the prior to major surgery, blunt and penetrating abdominal superior mesenteric artery result in segmental ischemic trauma, acute abdominal symptoms with equivocal history damage to the small bowel and/or the right colon. Athero- or physical findings, and undetermined abdominal symp- sclerotic narrowing with superimposed thrombosis of the toms when other diagnostic modalities are inconclusive or main superior mesenteric artery trunk may also cause ex- not available. In certain circumstances, laparoscopy may tensive damage. Nonocclusive mesenteric ischemia usually also be used to treat the underlying pathology. involves most of the small bowel and often part of the large Patients suffering from intestinal ischemia tend
Surgical Endoscopy – Springer Journals
Published: Apr 5, 2014
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