Techniques for intraoperative evaluation of bowel viability in mesenteric ischemia: A review

Publication date: Available online 25 January 2020Source: The American Journal of SurgeryAuthor(s): Mitchell G. Bryski, Lydia G. Frenzel-Sulyok, Lewis Kaplan, Sunil Singhal, Jane J. KeatingAbstractAcute mesenteric ischemia (AMI) is a deadly and common surgical emergency. While several imaging modalities aid in the diagnosis of AMI preoperatively, there are limited intraoperative tools for surgeon decision making regarding bowel viability. Here we offer a review of the utility and limitations of the many extensively studied techniques. We classify each of these modalities into three hallmarks of healthy bowel: oxygenation, myoelectric activity and perfusion. Finally, we offer a brief discussion of emerging and promising techniques to assist surgeons in intraoperative decision making for patients with mesenteric ischemia.
Source: The American Journal of Surgery - Category: Surgery Source Type: research