Diagnostic and Interventional Radiology
Interventional Radiology - Original Article

Role of preoperative angiography in colon interposition surgery

1.

Division of Vascular Imaging and Interventions, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

2.

Department of Vascular Imaging and Interventions Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA

3.

Division of Vascular Imaging and Intervention, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Diagn Interv Radiol 2012; 18: 314-318
DOI: 10.4261/1305-3825.DIR.4986-11.1
Read: 214 Downloads: 80 Published: 03 September 2019

Abstract

PURPOSE
The aim of this study was to evaluate the role of preoperative angiography in patients undergoing colonic interposition.

 

MATERIALS AND METHODS
We searched the electronic database of our radiology department for the term “mesenteric angiography” over a 10-year period from January 1, 2001 to December 31, 2010.

 

RESULTS
We identified 54 patients who had undergone mesenteric angiography before esophageal reconstruction, 16 of whom proceeded to have colonic interposition surgery. One patient (6.3%) developed graft necrosis, two (12.5%) developed an anastomotic leak, and three (18.8%) developed an anastomotic stricture. These complication rates are similar to those reported in the surgical literature for patients who did or did not undergo routine preoperative angiography.

 

CONCLUSION
There is no significant difference in the rates of complications secondary to ischemia (graft necrosis, anastomotic stricture, and anastomotic leak) in patients who undergo routine preoperative angiography as compared with those who do not.

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EISSN 1305-3612
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