[Compensatory hypertrophy of the intestinal mucosa after massive resection of the small intestine].
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The case of a 67 year old patient with ileus caused by multiple carcinoids of ileum without endocrine symptoms is reported. Frequency, localisation and ways of metastasation , so as diagnostic and therapeutic possibilities are discussed.
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The author introduces a new intraoperative procedure suitable to examine the viability of the bowel using pulsoxymetry which has not yet been applied in abdominal surgery, but is widely used in anesthesiological practice. Shortly the writer introduces the importance of the method and its practical measurements. At the moment he is accounting for just six months' experience from the method. The method gives diagnostical assistance to urgent surgical interventions such as destructive and vascular ileus. To obtain accurate measurements the author feels it is necessary to construct a special probe adapted to the bowel. Since pulsoxymeter used to examine decisive parameters of viability--is a part of anesthesiological monitoring system- its application in every surgical theater is a possibility at hand, without any special financial investment.
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