Prognosis of Esophageal Substitute in Tissue Viability and Anastomotic Leakage
Hitherto, accurate measurements of the blood flow through the organ for reconstructive operation of the esophagus have been difficult, and consequently prognosis of the anastomotic leakage has hardly been possible. Based on the laser-doppler method, however, we measured accurately, during operation, intramural blood flows in detail of the stomach mobilized as an esophageal substitute. In studying the blood flow distribution pattern through the gastric tube, software was devised and employed that is capable of preparing the flow distribution chart instantly by linking the flowmeter to the computer. By this method, the blood flow through the gastric tube and its distribution could be determined easily and noninvasively, and it was made possible to assess objectively and during operation the possibility of leakage.
KeywordsAnastomotic Leakage Esophageal Carcinoma Gastric Tube Tissue Blood Flow Leakage Group
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- Kudo T, Abo S, Itabashi T (1985) The distribution chart of blood supply in the stomach mobilized as an esophageal substitute. Igaku-no-Ayumi 134:275–276 (in Japanese)Google Scholar
- Kun L, Cun ZG, Jie CZ (1983) Avoiding anastomotic leakage following esophagogastrostomy. J Thorac Cardiovasc Surg 86:142–145Google Scholar
- Stern MD, Lappe DL, Bowen PD, Chimosky JE, Holloway GA, Keiser HR, Bowman AR (1977) Continuous measurement of tissue blood flow by laser-Doppler spectroscopy. Am J Physiol 232:441–448Google Scholar