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Cited by 203Abdominal vascular conditions and treatmentsIntestinal and Peritoneal AdhesionsGastrointestinal Bleeding Diagnosis and Treatment

The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.

Intraoperative Determination of Small Intestinal Viability following Ischemic Injury: A Prospective, Controlled Trial of Two Adjuvant Methods (Doppler and Fluorescein) Compared with Standard Clinical Judgment

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BULKLEY, GREGORY B., ZUIDEMA, GEORGE D., HAMILTON, STANLEY R., OʼMARA, CHARLES S., KLACSMANN, PETER G., HORN, SUSAN D.·1981·Annals of Surgery
DOI 10.1097/00000658-198105000-00014PMC PMC1345136
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Abstract

Two adjuvant techniques for the intraoperative assessment of small intestinal viability were compared with standard clinical judgment in a prospective, controlled study of 71 ischemic bowel segments in 28 consecutive patients operated on for acute intestinal ischemic disease. Each segment was independently assessed 15 minutes after surgical correction of the underlying lesion by: 1) standard clinical judgment; 2) Doppler-detected pulsatile mural blood flow; and 3) fluorescein ultraviolet fluorescence pattern. Viability endpoint for each segment was determined objectively by patient follow-up or "blinded" microscopic evaluation of histologically unequivocal resection specimens using criteria established by previous animal studies. Seventeen histologically equivocal specimens were excluded from the final results. Standard clinical judgment proved moderately accurate overall (89%) but would have led to a relatively high rate (46%) of unnecessary bowel resection. The Doppler technique did not increase accuracy in any category of evaluation. The fluorescein fluorescent pattern was correct in all 54 determinant bowel segments, and proved more sensitive specific, predictive, and significantly more accurate overall than either standard clinical judgment or the Doppler method. This controlled study suggests that the fluorescein technique is the method of choice for the prediction of small intestinal recovery following ischemic injury.

Overview

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Crossref · 10.1097/00000658-198105000-00014

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19 of 19 references verified0 citation errors · 0 not checkable

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Metadata

Authors
BULKLEY, G. B., ZUIDEMA, G. D., HAMILTON, S. R., OʼMARA, C. S., KLACSMANN, P. G., & HORN, S. D.
Affiliations
Johns Hopkins University (US)
ORCID
Venue
Annals of Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1981-05
Volume
193
Issue
5
Pages
628-637
ISSN
0003-4932 (ISSN-L)
DOI
10.1097/00000658-198105000-00014
PMC
PMC1345136
OpenAlex
W2049022052
Cited by
203
References
19
Citations by year
2026: 3 · 2025: 6 · 2024: 6 · 2023: 6 · 2022: 7 · 2021: 11 · 2020: 6 · 2019: 4 · 2018: 7 · 2017: 7 · 2016: 3 · 2015: 3 · 2014: 5 · 2013: 3 · 2012: 5
FWCI
6.15
Type
journal article
Language
en
Open access
Locations
  • Annals of Surgery (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Surgery › Intestinal and Peritoneal Adhesions
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal Bleeding Diagnosis and Treatment
Keywords
intestinal ischemia, intraoperative assessment, Doppler flow, bowel resection, histological evaluation
MeSH terms
Adolescent, Adult, Aged, Auscultation, Clinical Trials as Topic, Female, Humans, Intestine, Small, Intraoperative Period, Ischemia, Male, Middle Aged, Photofluorography, Prospective Studies, Ultrasonography

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