Postoperative monitoring of the esophageal gastroplasty perfusion rate
Horáková, M.; Neoral, C.
Rozhledy V Chirurgii Mesicnik Ceskoslovenske Chirurgicke Spolecnosti 88(1): 18-20
2009
ISSN/ISBN: 0035-9351 PMID: 19358465 Document Number: 628602
Quality assessment of perfusion of the gastric tube after esophagectomy by using the intramucosal pH measurements. Determination, if these measurements may have an early prediction for an anastomotic insufficiency. Prospective observational study. SETTING PLACE: Department of surgery (surgical branches) intensive care unit and 1st surgical clinic, University hospital Olomouc. 11 patients with the esophageal cancer who underwent esopgagectomy with the replacement by the gastric tube were divided into two groups (leakage+ and leakage- anastomosis). The intramucosal pH (pHi) was measured by a gastric tonometry. Patients with anastomotic leakage on early post-operative period (n = 3) had significantly lower values of pHi than patients without anastomotic leakage (n = 8). Gastric tonometry is an useful method to evaluate gastric tube perfusion after esophagectomy. The intramucosal pH values significantly correlated with viability of gastric tube. Measurements of pHi is high predictionable of the risk of anastomotic insufficiency on early stage after surgery.