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Techniques in Coloproctology
Published in: Techniques in Coloproctology 9/2016

01-09-2016 | Trick of the Trade

Superior mesenteric artery stenting and colonic resection for colonic cancer with severe visceral arterial stenosis

Authors: G. A. Binda, A. Serventi, V. Valle, L. Bacigalupo, A. Valdata, G. Baldino

Published in: Techniques in Coloproctology | Issue 9/2016

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Excerpt

Colon resection for cancer follows standard oncologic principles that include the proximal ligation of the primary arterial supply to the segment harboring the tumor. Variants of the normal arterial anatomy and diseases causing the development of abnormal collateral pathways may be present: If they are not recognized before routine colectomy, there is a high risk of visceral infarction. We describe a case of a splenic flexure adenocarcinoma with a severe superior mesenteric artery (SMA) stenosis treated preoperatively with endovascular stenting. …
Literature
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Haigh PI, Temple WJ (1998) The gargantuan marginal artery sign: a case report of averting total necrosis of the small intestine. Surgery 123:362–364CrossRefPubMed
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Redmond CE, O’Donohe R, Brophy DP, Maguire D, Beddy D (2013) Successful arterial reconstruction and colectomy to treat severe visceral arterial disease with concomitant colon cancer. Tech Coloproctol 17:601–603CrossRefPubMed
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Oderich GS, Erdoes LS, Lesar C et al (2013) Comparison of covered stents versus bare metal stents for treatment of chronic atherosclerotic mesenteric arterial disease. J Vasc Surg 58:1316–1324CrossRefPubMed
Metadata
Title
Superior mesenteric artery stenting and colonic resection for colonic cancer with severe visceral arterial stenosis
Authors
G. A. Binda
A. Serventi
V. Valle
L. Bacigalupo
A. Valdata
G. Baldino
Publication date
01-09-2016
Publisher
Springer International Publishing
Published in
Techniques in Coloproctology / Issue 9/2016
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-016-1517-4

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