Reliable cervical anastomosis through the retrosternal route with stepwise gastric tube

Ikeda, Yoshifumi; Tobari, Shoichi; Niimi, Masanori; Kan, Shigenao; Takami, Hiroshi; Kodaira, Susumu

doi:10.1016/s0022-5223(02)73407-7

Cited by 5 publications

(2 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To perform a successful anastomosis, the stomach should be completely mobilized using the Kocher maneuver and the right gastric artery should be divided to enable a long gastric tube to be obtained. Moreover, we previously devised a procedure that involves the separate division and closure of the seromuscular and submucosal/mucosal layers along the greater curvature, yielding a gastric tube with a longer effective length and sufficient blood flow 17 . However, some of our patients in whom the TBF after anastomosis was insufficient developed anastomotic leakage.…”

Section: Discussionmentioning

confidence: 99%

Long beneficial effects after lipo-prostaglandin E1 administration on the ischemic gastric tube in pigs

Ikeda

Morita

2008

Diseases of the Esophagus

View full text Add to dashboard Cite

Lipo-prostaglandin E1 (PGE1) is a new preparation of PGE1 in which it is bound to lipids in order to slow PGE1 release and delay its rate of metabolism. We investigated how long the beneficial effects of intravenous administration of lipo-PGE1 on the ischemic gastric tube continue. The gastric tube was constructed using 15 domestic pigs under general anesthesia and saline, unmodified PGE1 and lipo-PGE1 were infused continuously at a rate of 0.05 microg/kg/min for 10 minutes. Tissue blood flow (TBF) was analyzed from before administration to 120 minutes after the end of administration. There were no obvious changes in TBF during the administration of saline. However, TBF during treatment with unmodified PGE1 and lipo-PGE1 was significantly increased to 13.1 +/- 1.3 and 13.5 +/- 1.4 mL/min/100 g, respectively (paired t-test; P < 0.01). Although TBF was significantly decreased to 8.0 +/- 1.0 mL/min/100 g on 10 minutes after the end of unmodified PGE1 administration (paired t-test; P < 0.01), it was maintained over 10 mL/min/100 g until 120 minutes in lipo-PGE1 group. Lipo-PGE1 infusion leads to the objectively measurable improvement and the prolonged action in the blood perfusion of the gastric tube in pigs.

show abstract

Section: Discussionmentioning

confidence: 99%

Long beneficial effects after lipo-prostaglandin E1 administration on the ischemic gastric tube in pigs

Ikeda

Morita

2008

Diseases of the Esophagus

View full text Add to dashboard Cite

show abstract

“…Die Hauptursache von Komplikationen sind respiratorische Funktionsstörungen, Anastomoseninsuffizienzen, der Chylothorax und eine Verletzung des N. laryngeus [52,53]. Obwohl technisch machbar [54,55]…”

Section: Thorako-laparoskopieunclassified

Chirurgie des Ösophaguskarzinoms - Qualitätssicherung

Bogoevski¹,

Izbicki²,

Yekebas³

2007

Viszeralchirurgie

View full text Add to dashboard Cite

Laser Doppler assessment of the influence of division at the root of the inferior mesenteric artery on anastomotic blood flow in rectosigmoid cancer surgery

Seike

Koda

Saitô

et al. 2006

Int J Colorectal Dis

159

136

View full text Add to dashboard Cite

show abstract

Reliable cervical anastomosis through the retrosternal route with stepwise gastric tube

Abstract: We consider this technique to be a useful procedure for retrosternal reconstruction after subtotal esophagectomy.

Cited by 5 publications

References 21 publications

Long beneficial effects after lipo-prostaglandin E1 administration on the ischemic gastric tube in pigs

Long beneficial effects after lipo-prostaglandin E1 administration on the ischemic gastric tube in pigs

Chirurgie des Ösophaguskarzinoms - Qualitätssicherung

Laser Doppler assessment of the influence of division at the root of the inferior mesenteric artery on anastomotic blood flow in rectosigmoid cancer surgery

Contact Info

Product

Resources

About