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J R Soc Med. 1980 September; 73(9): 631–634.
PMCID: PMC1438165

Prediction of intestinal recovery after ischaemic injury due to arterial, venous and mixed arterial and venous occlusions1


Methods to predict intestinal viability after release of vascular occlusion were evaluated in a rat model of reversible segmental strangulation. Visual criteria of colour, pulsation and peristalsis in the ischaemic intestine were applied both in the immmediate period after restoration of the circulation and at `second-look' 24 hours later. In addition two simple tests using a Doppler probe and surface fluorescence were evaluated. As a test in identifying nonviable intestine the fluorescent method had an overall sensitivity of 96% with a specificity of 95% for all types of vascular occlusion, which compared favourably with the other methods tested.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Cooperman M, Pace WG, Martin EW, Jr, Pflug B, Keith LM, Jr, Evans WE, Carey LC. Determination of viability of ischemic intestine by Doppler ultrasound. Surgery. 1978 Jun;83(6):705–710. [PubMed]
  • Fortuin NJ, Weiss JL. Exercise stress testing. Circulation. 1977 Nov;56(5):699–712. [PubMed]
  • Papachristou D, Fortner JG. Prediction of intestinal viability by intra-arterial dye injection: a simple test. Am J Surg. 1976 Nov;132(5):572–574. [PubMed]
  • Schamaun M. Electromyography to determine viability of injured small bowel segments: an experimental study with preliminary clinical observations. Surgery. 1967 Nov;62(5):899–909. [PubMed]
  • Stolar CJ, Randolph JG. Evaluation of ischemic bowel viability with a fluorescent technique. J Pediatr Surg. 1978 Jun;13(3):221–225. [PubMed]
  • Wright CB, Hobson RW., 2nd Prediction of intestinal viability using Doppler ultrasound technics. Am J Surg. 1975 Jun;129(6):642–645. [PubMed]
  • Zarins CK, Skinner DB, Rhodes BA, James AE., Jr Prediction of the viability of revascularized intestine with radioactive microspheres. Surg Gynecol Obstet. 1974 Apr;138(4):576–580. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press