Relationship between autonomic innervation and hemodynamics of the gastric tube for esophageal reconstruction, especially the effect of thoracic sympathectomy on the microcirculatory disturbance in the gastric tube
Mii, T.
Nihon Geka Hokan. Archiv für Japanische Chirurgie 50(6): 747-768
1981
ISSN/ISBN: 0003-9152 PMID: 7337506 Document Number: 180454
The causes of blood circulatory disturbance of the Kirschner-Nakayama type of gastric tube were studied and the effect of thoracic sympathectomy as a countermeasure was examined. Vagotomy is the most significant cause of these hemodynamic changes in the microcirculatory system of the gastric tube. The opening of arteriovenous anastomosis evidently was induced by vagotomy. The right thoracic sympathectomy (Th5-10) had remarkable effect on this impaired blood circulation, but left thoracic sympathectomy (Th5-10) had no influence on the blood circulation of the gastric tube.