Minimally invasive management of acute superior mesenteric artery occlusion: Combined urokinase and laparoscopic therapy

Fintan Regan, Ryan R. Karlstad, Thomas H. Magnuson

Research output: Contribution to journalArticle

Abstract

Acute superior mesenteric arterial occlusion is a medical emergency mandating prompt diagnosis and therapy. Traditional management includes exploratory laparotomy with possible embolectomy or bowel resection. Unfortunately, these patients are often frail and elderly and tolerate open laparotomy poorly. In this report, we describe a patient with acute superior mesenteric artery occlusion successfully managed with a minimally invasive approach. The acute arterial occlusion was managed with intra-arterial fibrinolytic therapy, and bowel viability was assessed with diagnostic laparoscopy. This combined approach of arteriographic and laparoscopic therapy avoided exploratory laparotomy, and we believe that it is an important therapeutic option in select patients with acute mesenteric ischemia.

Original languageEnglish (US)
Pages (from-to)1019-1021
Number of pages3
JournalAmerican Journal of Gastroenterology
Volume91
Issue number5
StatePublished - May 1 1996

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ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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