A prospective study of clinically and endoscopically documented colonic ischemia in 100 patients undergoing aortic reconstructive surgery with aggressive colonic and direct pelvic revascularization, compared with historic controls.

@article{Zelenock1989APS,
  title={A prospective study of clinically and endoscopically documented colonic ischemia in 100 patients undergoing aortic reconstructive surgery with aggressive colonic and direct pelvic revascularization, compared with historic controls.},
  author={Gerald B. Zelenock and William Strodel and James A. Knol and Louis M. Messina and Thomas W. Wakefield and S M Lindenauer and Frederic E. Eckhauser and Lazar John Greenfield and James C. Stanley},
  journal={Surgery},
  year={1989},
  volume={106 4},
  pages={771-9; discussion 779-80}
}
Clinically and endoscopically proved ischemia of the colon complicates elective aortic reconstruction in 1% to 2% and 6% to 7% of cases, respectively. Operative mortality exceeds 60% when transmural infarction occurs. A prospective study of colonic ischemia was undertaken in 100 male patients (mean age, 62.4 +/- 7.9 years) undergoing operation for aortic aneurysms (58) or aortoiliac occlusive disease (42). Conventional aortic surgery was undertaken in 88 patients, and in 12 patients adjunctive… CONTINUE READING