Der Einflu� von Cimetidin auf Sauerstoffverbrauch und Durchblutung des Magenfundus nach Ligatur der linken Magengef��e

Rau, W.; Kunath, U.

doi:10.1007/bf01266011

Cited by 2 publications

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“…Dabei ist die Mucosa durch ihr submuc6ses Netz zuverl/issig gegen Isch~imien geschfitzt. Die Ligatur der linksseitigen Zuflfisse zum Magenfundus und -corpus, wie sie heute bei der Mobilisierung des Magens zum langstreckigen Speiser6hrenersatz angewendet wird (Kunath u. Stelzner 1976;Kunath 1977;Stelzner u. Kunath 1977), ffihrt im Tierexperiment zu einer Minderdurchblutung der Muscularis, nicht der Mucosa des Fundus (Rau u. Kunath 1981). Brenckmann (1932) berichtete bei fast kompletter Ligatur der Magenarterien wohl fiber degenerative Ver~inderungen der Muscularis, findet histologisch jedoch eine unauffiillige Mucosa.…”

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Zur H�modynamik der gastroduodenalen Zirkulation

Rau¹

1981

Langenbecks Arch Chiv

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The regional blood flow of the dog's stomach and upper part of the duodenum is measured by radioactive microspheres. A complete surgical interruption of vascular connections between antrum and corpus changes blood flow distribution, as measured 2 weeks after operation. We find a significant fall of flow to the mucosa of the corpus and the muscular layer of the antrum. Mucosa and muscularis of the canine stomach are supplied by different sources: The arteries of the muscularis, which show extramural origin, are mainly supplied by the left gastric vessels. The gastric mucosa--even of the corpus--shows main blood supply from the arteries of the gastroduodenal region. Gastric secretion shows normal response on stimulation by Pentagastrin. Thus an accidental vagotomy is excluded as a possible cause of the registered flow changes. The effect of Pentagastrin on the gastroduodenal circulation is interpreted an an occlusion of arteriovenous shunts.

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Section: -M-corporationunclassified

Zur H�modynamik der gastroduodenalen Zirkulation

Rau¹

1981

Langenbecks Arch Chiv

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6. Die abdomino-cervicale Oesophagektomie

Stelzner¹

1981

Langenbecks Arch Chiv

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Esophagectomy without thoracotomy is performed by an abdomino-cervical blunt dissection. A cancer-free margin after resection is only possible after total esophagectomy. The proximal stomach including the lymph nodes at the right and left paracardia and the whole of the lesser curvature are removed with the esophagus. The food canal is restored by splitting the stomach longitudinally and forming a stomach tube from the greater curvature. This stomach tube is pulled up to the neck through the now empty mediastinum and anastomosed. This movement is easy because the blood supply of the esophagus flows craniocaudally and not segmentally. This technique has a low mortality: in 20 cases only 3 patients died (15%).

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Der Einflu� von Cimetidin auf Sauerstoffverbrauch und Durchblutung des Magenfundus nach Ligatur der linken Magengef��e

Cited by 2 publications

References 9 publications

Zur H�modynamik der gastroduodenalen Zirkulation

Zur H�modynamik der gastroduodenalen Zirkulation

6. Die abdomino-cervicale Oesophagektomie

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