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. 1973 Jan;14(1):64–67. doi: 10.1136/gut.14.1.64

Ischaemic colitis and abdomino-perineal excision of the rectum

M Lea Thomas, J M Wellwood
PMCID: PMC1412577  PMID: 4540295

Abstract

Two patients are presented in whom ischaemic colitis followed some years after abdomino-perineal excision of the rectum for carcinoma. The first patient was a young man without evidence of arterial disease and the second patient suffered from auricular fibrillation, thought to be due to ischaemic heart disease.

Ligation of the inferior mesenteric artery in the operation of abdomino-perineal excision of the rectum may reduce the blood flow through the marginal artery of Drummond rendering the remaining colon more liable to ischaemic damage.

Patients who pass bright blood through a colostomy following abdomino-perineal excision of the rectum for carcinoma may have ischaemic colitis rather than a recurrence of the neoplasm.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BERNSTEIN W. C., BERNSTEIN E. F. Ischemic ulcerative colitis following inferior mesenteric arterial ligation. Dis Colon Rectum. 1963 Jan-Feb;6:54–61. doi: 10.1007/BF02617232. [DOI] [PubMed] [Google Scholar]
  2. GOLIGHER J. C. The adequacy of the marginal blood-supply to the left colon after high ligation of the inferior mesenteric artery during excision of the rectum. Br J Surg. 1954 Jan;41(168):351–353. doi: 10.1002/bjs.18004116804. [DOI] [PubMed] [Google Scholar]
  3. GRIFFITHS J. D. Surgical anatomy of the blood supply of the distal colon. Ann R Coll Surg Engl. 1956 Oct;19(4):241–256. [PMC free article] [PubMed] [Google Scholar]
  4. Griffiths J. D. Ischæmic diseases of the colon [abridged]. Proc R Soc Med. 1966 Sep;59(9):881–882. [PMC free article] [PubMed] [Google Scholar]
  5. HARRISON A. W., CROAL A. E. Left colon ischemia following occlusion or ligation of the inferior mesenteric artery. Can J Surg. 1962 Jul;5:293–298. [PubMed] [Google Scholar]
  6. MORGAN C. N., GRIFFITHS J. D. High ligation of the inferior mesenteric artery during operations for carcinoma of the distal colon and rectum. Surg Gynecol Obstet. 1959 Jun;108(6):641–650. [PubMed] [Google Scholar]
  7. Marcuson R. W., Farman J. A. Ischaemic disease of the colon. Proc R Soc Med. 1971 Oct;64(10):1080–1083. [PMC free article] [PubMed] [Google Scholar]
  8. Marcuson R. W., Stewart J. O., Marston A. Experimental venous lesions of the colon. Gut. 1972 Jan;13(1):1–7. doi: 10.1136/gut.13.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Marston A., Pheils M. T., Thomas M. L., Morson B. C. Ischaemic colitis. Gut. 1966 Feb;7(1):1–15. doi: 10.1136/gut.7.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. SHAW R. S., GREEN T. H., Jr Massive mesenteric infarction following inferior mesenteric-artery ligation in resection of the colon for carcinoma. N Engl J Med. 1953 May 21;248(21):890–891. doi: 10.1056/NEJM195305212482103. [DOI] [PubMed] [Google Scholar]
  11. Thomas M. L. Further observations on ischaemic colitis. Proc R Soc Med. 1968 Apr;61(4):341–342. [PMC free article] [PubMed] [Google Scholar]

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