[Surgical therapy of acute mesenteric artery occlusion].

Abstract

Only early diagnosis and vascular surgery during the period of ischemic tolerance (about 12 hours) will improve the results of treatment of acute splanchnic artery occlusion. From 1966 to 1989, 98 patients were treated: 81 underwent operations (65 emboli of the SMA, 16 arteriosclerotic obstructions). Of the 47 patients who were treated at the stage of reversible acute mesenteric ischaemia 12 died (25.5%). Of the 34 patients undergoing surgery at the stage of small bowel infarction 24 died postoperatively (70.6%).