| Laser Doppler blood flow measurement in rectal resection for carcinoma--comparison between the straight and colonic J pouch reconstruction. | |
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MedLine Citation:
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PMID: 8665202 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Lower rates of anastomotic leakage have been reported after rectal resection with a colonic pouch-anal anastomosis than with a conventional straight anastomosis. The microcirculation in the bowel segment that was used for construction of a colonic pouch or a conventional straight anastomosis was examined. Transmural colonic blood flow was measured by laser Doppler flowmetry during the operation before the construction of a straight (n = 16) or pouch (n = 14) anastomosis. The blood flow recordings were first done before dissection of the bowel at one point close to the planned bowel end and at another point 8 cm more proximally. A second recording was done at the same sites after dissection and, where appropriate, after construction of the pouch, but before the anastomosis was completed. In the straight group (end-to-end anastomosis), blood flow levels at the site intended for the anastomosis were significantly decreased following dissection of the bowel. In the pouch group (side-to-end anastomosis), blood flow levels at the site of the anastomosis were similar following dissection of the bowel and pouch construction. It is concluded that unaffected blood flow at the site of the anastomosis of the pouch may be a favourable factor for anastomotic healing. |
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Authors:
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O Hallböök; K Johansson; R Sjödahl |
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: 83 ISSN: 0007-1323 ISO Abbreviation: Br J Surg Publication Date: 1996 Mar |
Date Detail:
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Created Date: 1996-08-08 Completed Date: 1996-08-08 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: 389-92 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, University Hospital, Linköping, Sweden. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Blood Flow Velocity Female Humans Laser-Doppler Flowmetry Male Middle Aged Proctocolectomy, Restorative / methods* Prosthesis Failure Rectal Neoplasms / blood supply, surgery* Rectum / blood supply* Wound Healing |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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