Thermographic assessment of intestinal viability following ischemic damage. 1978

A A Moss, and H Y Kressel, and A C Brito

Reactive hyperemia has been shown to be a characteristic of viable ischemic tissue that has been revascularized. A segment of small bowel was made ischemic by arterial occlusion and the ischemia maintained for 2 1/2 hrs (ischemic, viable bowel) or 8 hrs (ischemic, nonviable bowel) before circulation was restored. Thermograms and surface temperature measurements of exposed ischemic and non-ischemic bowel segments were obtained before and every five minutes after revascularization. Thermograms of segments revascularized after 2 1/2 hrs of ischemia demonstrated reactive hyperemia and a one to four degree increase in surface temperature compared to normal surrounding bowel. No hyperemic response was seen in bowel segments that were ischemic for 8 hrs. Our results indicate that thermograms can document reactive hyperemia of an exposed ischemic bowel that has been successfully revascularized and may be an important aid in assessing bowel viability during surgery.

UI MeSH Term Description Entries
D007410 Intestinal Diseases Pathological processes in any segment of the INTESTINE from DUODENUM to RECTUM. Disease, Intestinal,Diseases, Intestinal,Intestinal Disease
D007421 Intestine, Small The portion of the GASTROINTESTINAL TRACT between the PYLORUS of the STOMACH and the ILEOCECAL VALVE of the LARGE INTESTINE. It is divisible into three portions: the DUODENUM, the JEJUNUM, and the ILEUM. Small Intestine,Intestines, Small,Small Intestines
D007511 Ischemia A hypoperfusion of the BLOOD through an organ or tissue caused by a PATHOLOGIC CONSTRICTION or obstruction of its BLOOD VESSELS, or an absence of BLOOD CIRCULATION. Ischemias
D001775 Blood Circulation The movement of the BLOOD as it is pumped through the CARDIOVASCULAR SYSTEM. Blood Flow,Circulation, Blood,Blood Flows,Flow, Blood
D003250 Constriction The act of constricting. Clamping,Clampings,Constrictions
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D006940 Hyperemia The presence of an increased amount of blood in a body part or an organ leading to congestion or engorgement of blood vessels. Hyperemia can be due to increase of blood flow into the area (active or arterial), or due to obstruction of outflow of blood from the area (passive or venous). Active Hyperemia,Arterial Hyperemia,Passive Hyperemia,Reactive Hyperemia,Venous Congestion,Venous Engorgement,Congestion, Venous,Engorgement, Venous,Hyperemia, Active,Hyperemia, Arterial,Hyperemia, Passive,Hyperemia, Reactive,Hyperemias,Hyperemias, Reactive,Reactive Hyperemias
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013817 Thermography Imaging the temperatures in a material, or in the body or an organ. Imaging is based on self-emanating infrared radiation (HEAT WAVES), or on changes in properties of the material or tissue that vary with temperature, such as ELASTICITY; MAGNETIC FIELD; or LUMINESCENCE. Temperature Mapping,Mapping, Temperature,Mappings, Temperature,Temperature Mappings
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor

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