During the past 6 years from 1972 to 1977, the authors experienced 6 cases of massive small bowel resection among 8 cases of´ superior mesenteric vascular occlusion at Inchon Christian. Hospital.
The results were as follows and also review of references.
1. The sex ratio was 6 in male and 2 in female.
2. The incidence of mesenteric vascular occlusion was the most common between the 3rd decade and the 6th decade especially the 5th decade.
3. The cause of mesenteric vascular occlusion was not known strictly, but in our study myocardial infarction, Buerger´s disease and circulatory disturbances following the low flowstate and the decreased cardiac output were very important.
4. The diagnostic criteria were Brook´s triad and symptoms of circulatory disturbance which
were dehydration, tachycardia, arrhythmia and, variable blood pressure.
5. The conservative treatment without and delayed exploration were increased mortality.
6. The adaptation of residual small bowel were dilation, hypertrophy, lengthening and increased surface of absorption from hypertrophy of villi. But more studies of intestinal function were required because the patient were not have his own life in spite of adaptation after bowel resection.
7. The length of small bowel from Treitz ligament to ileocecal valve was 380-525 cm and more lengthening in man in, our experience.
8. Surgeon was remembered the increased incidence of re-infarction after bowel resection due to the superior mesenteric vascular, occlusion.
9. The intravascular fluid and hyperalimentation therapy were very important during the hospital course.
10. Small, frequent and fat free liquid diet were initially started and administrated orally.
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