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AGA technical review on intestinal ischemia
Lawrence J. Brandt, M.D., Scott J. Boley, M.D Gastroenterology Volume 118, Issue 5, Pages (May 2000) DOI: /S (00) Copyright © 2000 American Gastroenterological Association Terms and Conditions
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Fig. 1 Patient with an embolus in the main SMA who underwent surgery for presumed acute diverticulitis. An embolectomy was performed, and a superior mesenteric angiogram was obtained postoperatively. (A) Immediate postoperative angiogram showing a patent SMA but marked constriction of its branches. (B). Angiogram after 14 hours of SMA papaverine infusion showing much decreased but still significant vasoconstriction. (C) Angiogram after 50 hours of papaverine infusion showing complete relief of vasoconstriction. The patient had an uneventful recovery. (Reprinted with permission.139) Gastroenterology , DOI: ( /S (00) ) Copyright © 2000 American Gastroenterological Association Terms and Conditions
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Fig. 1 Patient with an embolus in the main SMA who underwent surgery for presumed acute diverticulitis. An embolectomy was performed, and a superior mesenteric angiogram was obtained postoperatively. (A) Immediate postoperative angiogram showing a patent SMA but marked constriction of its branches. (B). Angiogram after 14 hours of SMA papaverine infusion showing much decreased but still significant vasoconstriction. (C) Angiogram after 50 hours of papaverine infusion showing complete relief of vasoconstriction. The patient had an uneventful recovery. (Reprinted with permission.139) Gastroenterology , DOI: ( /S (00) ) Copyright © 2000 American Gastroenterological Association Terms and Conditions
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Fig. 1 Patient with an embolus in the main SMA who underwent surgery for presumed acute diverticulitis. An embolectomy was performed, and a superior mesenteric angiogram was obtained postoperatively. (A) Immediate postoperative angiogram showing a patent SMA but marked constriction of its branches. (B). Angiogram after 14 hours of SMA papaverine infusion showing much decreased but still significant vasoconstriction. (C) Angiogram after 50 hours of papaverine infusion showing complete relief of vasoconstriction. The patient had an uneventful recovery. (Reprinted with permission.139) Gastroenterology , DOI: ( /S (00) ) Copyright © 2000 American Gastroenterological Association Terms and Conditions
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Fig. 2 Patient with NOMI after an episode of gastrointestinal hemorrhage and shock. (A) Initial superior mesenteric angiogram showing diffuse vasoconstriction. (B) Repeat angiogram after papaverine infusion for 24 hours, showing partial relief of the vasoconstriction. (C) Angiogram performed after 48 hours of papaverine infusion, showing dilation of all vessels. The patient was asymptomatic by that time and did well. (Reprinted with permission.139) Gastroenterology , DOI: ( /S (00) ) Copyright © 2000 American Gastroenterological Association Terms and Conditions
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Fig. 2 Patient with NOMI after an episode of gastrointestinal hemorrhage and shock. (A) Initial superior mesenteric angiogram showing diffuse vasoconstriction. (B) Repeat angiogram after papaverine infusion for 24 hours, showing partial relief of the vasoconstriction. (C) Angiogram performed after 48 hours of papaverine infusion, showing dilation of all vessels. The patient was asymptomatic by that time and did well. (Reprinted with permission.139) Gastroenterology , DOI: ( /S (00) ) Copyright © 2000 American Gastroenterological Association Terms and Conditions
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Fig. 2 Patient with NOMI after an episode of gastrointestinal hemorrhage and shock. (A) Initial superior mesenteric angiogram showing diffuse vasoconstriction. (B) Repeat angiogram after papaverine infusion for 24 hours, showing partial relief of the vasoconstriction. (C) Angiogram performed after 48 hours of papaverine infusion, showing dilation of all vessels. The patient was asymptomatic by that time and did well. (Reprinted with permission.139) Gastroenterology , DOI: ( /S (00) ) Copyright © 2000 American Gastroenterological Association Terms and Conditions
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