Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Online ISSN : 1882-9112
Print ISSN : 0385-7883
ISSN-L : 0385-7883
ORIGINAL ARTICLES
Evaluation of Non Occlusive Mesenteric Ischemia (NOMI)
Yusuke TakahashiHirohumi KishimotoKotaro SasaharaSeijiro YoshihukuKazutada Oki
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2013 Volume 38 Issue 1 Pages 16-20

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Abstract
Purpose: The possibility of the early detection of all the intestinal tract layer necroses of an operation which are adapted absolutely was examined from the clinical characteristics of non occlusive mesenteric ischemia: NOMI. Inclusion and methods: It was aimed at 11 examples by which it was diagnosed as NOMI from the abdominal CT imaging and the operative findings with intestinal resection from January, 2006 to August, 2011. 11 examples were classified pathologically into the intestinal tract membrane necrosis group and all the intestinal tract layer necrosis group, and clinical examination view, outcome, etc. were evaluated, respectively. Results: The average age among 11 examples was 78 and one example was died. All the intestinal tract layer necrosis group tended to present a peritoneal irritation symptom, and it seemed that the serum CRP value tends to show high. Conclusions : A peritoneal irritation symptom and the serum CRP value can serve as a key of early detection in all the intestinal tract layer necrosis cases.
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© 2013 Japanese College of Surgeons
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