Successful treatment of non-occlusive mesenteric ischemia (NOMI) using the HyperEye Medical System™ for intraoperative visualization of the mesenteric and bowel circulation: Report of a case

Nobuhiro Nitori, Tomoaki Deguchi, Keisuke Kubota, Masashi Yoshida, Ayu Kato, Masayuki Kojima, Tomohisa Kadomura, Akihiro Okada, Juri Okamura, Michiya Kobayashi, Takayuki Sato, Yoshifumi Beck, Yuko Kitagawa, Masaki Kitajima

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Non-occlusive mesenteric ischemia (NOMI), leading to intestinal gangrene without a demonstrable occlusion in the mesenteric artery, is a rare condition with extremely high mortality. We report a case of NOMI diagnosed preoperatively by computed tomography and treated successfully with surgery, assisted by indocyanine green (ICG) fluorescence in the HyperEye Medical System (HEMS), a new device that can simultaneously detect color and near-infrared rays under room light. This allowed for precise intraoperative evaluation of the mesenteric and bowel circulation. Although the necrotic bowel wall of the distal ileum and the segmental ischemia of the jejunum were visible, the jejunum was finally preserved because perfusion of ICG fluorescence was confirmed. The patient, an 84-year-old man, had an uneventful postoperative course and is alive without critical illness 8 months after surgery. We report this case to demonstrate the potential effectiveness of HEMS during surgery for NOMI.

Original languageEnglish
Pages (from-to)359-362
Number of pages4
JournalSurgery today
Volume44
Issue number2
DOIs
Publication statusPublished - 2014 Feb

Keywords

  • Fluorescence
  • HyperEye Medical System
  • Indocyanine green
  • Non-occlusive mesenteric ischemia

ASJC Scopus subject areas

  • Surgery

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    Nitori, N., Deguchi, T., Kubota, K., Yoshida, M., Kato, A., Kojima, M., Kadomura, T., Okada, A., Okamura, J., Kobayashi, M., Sato, T., Beck, Y., Kitagawa, Y., & Kitajima, M. (2014). Successful treatment of non-occlusive mesenteric ischemia (NOMI) using the HyperEye Medical System™ for intraoperative visualization of the mesenteric and bowel circulation: Report of a case. Surgery today, 44(2), 359-362. https://doi.org/10.1007/s00595-013-0503-y