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Article
October 1964

MESENTERIC ARTERY OCCLUSION WITH INTESTINAL GANGRENE

Author Affiliations

Oberarzt, Chirurg Universitätsklinik Basle, Switzerland

Arch Surg. 1964;89(4):751. doi:10.1001/archsurg.1964.01320040167030

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Abstract

To the Editor:  We surely do appreciate your sending us Dr. Zuidema's letter for comment to be published in a forthcoming issue of your distinguished Archives.We agree with Dr. Zuidema's statements. To Shaw and Rutledge (1957) indeed belongs the credit for proposing the "second-look." Atwell (1961) and Zuidema (1961) reported about such a second look, but both did not have to resect any bowel. In our paper a patient was demonstrated in whom second-look and resection of large portion of intestine were mandatory, to our knowledge still the first case of its kind. We stress the fact that even in apparently hopeless cases thrombectomy may result in partial restitution; second-look after a brief interval clears the situation. By all means not every thrombectomy must be followed by a second look.

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