[Choice of the method of isoperistaltic tubular esophagogastroplasty completion based on intraoperative assessment of vascularization of gastric transplant].
Intraoperative assessment of vascularization of isoperistaltic tubular gastric transplant using angiotensiometry and Doppler flowmetry was performed at 136 patients undergone extirpation of esophagus with esophagogastroplasty. The main criteria of gastric transplant convenience for anastomosis with esophagus were: clear intramural pulse on all circle of gastric transplant by flowmetry data; intramural arterial pressure according to angiotensiometry data have to be not less 80 mm Hg, and the ratio of venous to arterial pressure has not to be more 50%. At inadequate criteria the surgery must be finished with cervical esophago- and gastrostoma.
Cherniavskiĭ
A A
AA
Ryzhov
M K
MK
D004938:Esophageal Neoplasms / Q000601:surgery; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D010528:Peristalsis / Q000502:physiology*; D011183:Postoperative Complications / Q000401:mortality; D013270:Stomach / Q000098:blood supply* / Q000637:transplantation*; D013274:Stomach Neoplasms / Q000601:surgery