| Intersecting staple lines and blood flow in oesophagojejunal anastomoses. | |
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MedLine Citation:
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PMID: 2276023 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Total gastrectomy and oesophagojejunostomy with linear stapling devices were performed on 22 pigs to evaluate whether intersecting staple lines reduce the blood flow with an increased risk of anastomotic leakage. The blood flow at intersecting staple lines and single row staple lines of the anastomosis was studied with the reference organ method 24 h after the first operation. The mean blood flow in intersecting staple lines was 0.305 ml min-1 g-1 tissue and 0.307 ml min-1 g-1 tissue for single row staple lines. The confidence interval for the reduction in blood flow for intersecting staple lines compared with non-crossing staple lines was from -16 to +17 per cent. In one animal the reduction in blood flow was 37 per cent; in all other animals there was no reduction in blood flow or a reduction less than 25 per cent. An equivalence test shows that if a reduction in blood flow exists it is most likely to be less than 30 per cent (P less than 0.001). Our data confirm that intersecting staple lines in oesophagojejunal anastomoses do not reduce mean anastomotic blood flow to a dangerous level. |
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Authors:
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T L Zilling; B S Walther; J Ranstam |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The British journal of surgery Volume: 77 ISSN: 0007-1323 ISO Abbreviation: Br J Surg Publication Date: 1990 Dec |
Date Detail:
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Created Date: 1991-03-04 Completed Date: 1991-03-04 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 1375-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Lund University, Sweden. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anastomosis, Roux-en-Y Anastomosis, Surgical Animals Confidence Intervals Esophagus / surgery* Female Gastrectomy Jejunum / surgery* Male Microcirculation / physiology Regional Blood Flow / physiology Surgical Staplers* Suture Techniques Swine |
| Comments/Corrections | |
Comment In:
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Br J Surg. 1991 Jun;78(6):760-1
[PMID:
2070249
]
Br J Surg. 1991 May;78(5):634 [PMID: 2059829 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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