Usefulness of the HyperEye Medical System in Obstructive Colitis Proximal to Colon Carcinoma

Kei Ishimaru, Mitsunori Sato, Satoshi Akita, Hiroki Sugishita, Jun Kuwabara, Kazufumi Tanigawa, Yusuke Matsuno, Yosuke Abe, Motohira Yoshida, Shigehiro Koga, Yuji Watanabe
2019 Journal of Nippon Medical School  
Obstructive colitis (OC) is a nonspecific inflammatory condition that occurs at the proximal side of a completely or partially stenotic lesion typically caused by colorectal cancer. Impaired blood flow caused by these stenotic changes in the colon or rectum results in this condition. During surgery for sigmoid colon carcinoma with OC, complete surgical removal of the OC lesions is required. However, it is difficult to anticipate the range of OC before surgery. Diagnosing the potential ischemia
more » ... uring surgery would decrease the need for re-operation. This is the first report of HyperEye Medical System (HEMS) angiography for surgery of colon cancer with OC. We report a case of sigmoid colon carcinoma in which HEMS angiography was used and found to be useful for real-time detection of the OC lesion. (J Nippon Med Sch 2019; 86: 131 134)
doi:10.1272/jnms.jnms.2019_86-210 fatcat:2gu34ml6mndvlcknuhl5x2tsie