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Titolo:
Intraoperative changes of mucosal pCO(2) during gastric tube formation
Autore:
Schroder, W; Stippel, D; Beckurts, KTE; Lacher, M; Gutschow, C; Holscher, AH;
Indirizzi:
Univ Cologne, Dept Visceral & Vasc Surg, D-50931 Cologne, Germany Univ Cologne Cologne Germany D-50931 Vasc Surg, D-50931 Cologne, Germany
Titolo Testata:
LANGENBECKS ARCHIVES OF SURGERY
fascicolo: 5, volume: 386, anno: 2001,
pagine: 324 - 327
SICI:
1435-2443(200108)386:5<324:ICOMPD>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
LASER-DOPPLER FLOWMETRY; CRITICALLY ILL PATIENTS; TISSUE OXYGEN-TENSION; INTRAMUCOSAL PH; ESOPHAGECTOMY; TONOMETRY; PERFUSION; PREDICTOR; INDEX;
Keywords:
gastric tube formation; microcirculation; continuous tonometry;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Schroder, W Univ Cologne, Dept Visceral & Vasc Surg, Joseph Stelzmann Str 9, D-50931 Cologne, Germany Univ Cologne Joseph Stelzmann Str 9 Cologne Germany D-50931 y
Citazione:
W. Schroder et al., "Intraoperative changes of mucosal pCO(2) during gastric tube formation", LANG ARCH S, 386(5), 2001, pp. 324-327

Abstract

The formation of a gastric tube after esophagectomy with ligation of the left gastric artery and resection of the lesser curvature is associated withmicrocirculatory changes, especially in the anastomotic region of the fundus. This influences the healing of the esophagogastrostomy. The presented prospective protocol was designed to assess continuous tonometry as a tool to demonstrate microcirculatory changes during gastric tube formation. in 15patients with esophageal carcinoma, PCO2 of the gastric mucosa (PCO(2)i) was measured intraoperatively during formation of a gastric tube. This was done by a nasogastric tube with a silicon balloon connected to a Tonocap recirculating gas analyser. PCO(2)i measurements were compared for a period of90 min before and after ligation of the left gastric artery and correlatedto the corresponding end expiratory PCO2 (PCO(2)e). In 14 of 15 patients examined (93.3%), an increase of PCO(2)i after ligation of the left gastric artery was demonstrated. PCO(2)i (mean +/- SD) before ligation of the left gastric artery (87 measurements: 40.6 +/-7.5 mmHg; range, 29-67 mmHg) was significantly lower (P <0.001) compared to the mean PCO(2)i after ligation of the left gastric artery (88 measurements: 49.1 +/- 10.2 mmHg; range, 31-79 mmHg). Continuous tonometry is a valid method to detect changes in mucosal PCO2 during gastric tube formation and should be assessed to monitor the gastric interposition graft during the postoperative course.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 13:49:35