| Additional microvascular anastomosis in reconstruction after total esophagectomy for cervical esophageal carcinoma. | |
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MedLine Citation:
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PMID: 10527451 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Maintaining sufficient blood flow to the substitute organ after total esophagectomy is essential for decreasing the risk of anastomotic leakage. Additional venous, or arterial and venous, anastomoses between the vessels of the gastric tube and the vessels in the neck after total esophagectomy are described for 11 patients with cervical esophageal carcinoma. METHODS: The tissue blood flow was measured by laser Doppler flowmetry before and after anastomosis. Venous anastomosis was performed for all 11 patients, and arterial anastomosis was added for 7 patients. RESULTS: A significant increase in tissue blood flow was observed after venous anastomosis alone (mean, 19%; P < 0.05) and after arterial and venous anastomoses (mean 43%; P < 0.01). There was no anastomotic leakage or hospital death. CONCLUSIONS: This procedure may reduce the risk of anastomotic leakage especially in the case of pharyngogastrostomy following total esophagectomy. |
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Authors:
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M Murakami; A Sugiyama; T Ikegami; H Aruga; K Matsushita; K Ishida; F Maruta; T Ikeno; F Shimizu; S Kawasaki |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 178 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 1999 Sep |
Date Detail:
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Created Date: 1999-11-04 Completed Date: 1999-11-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 263-6 Citation Subset: AIM; IM |
Affiliation:
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First Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anastomosis, Surgical
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methods Esophageal Neoplasms / surgery* Esophagectomy* Esophagoplasty Humans Laser-Doppler Flowmetry Stomach / surgery Surgically-Created Structures / blood supply Vascular Surgical Procedures / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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