title: The effects of vasopressors on perfusion of gastric graft after esophagectomy. An experimental study.
abstract: OBJECTIVE
  To evaluate the impact of the perioperative administration of norepinephrine on the perfusion of the esophageal graft.
  
  
  METHODS
  This is an experimental study. Six swine underwent transhiatal esophagectomy; the stomach was used to replace the resected esophagus. We provoked hemorrhagic shock to the animals and then we administered noradrenaline to restore the blood pressure. We monitored the graft perfusion perioperatively using the technique of microdialysis.
  
  
  RESULTS
  In all animals, the graft experienced severe hypoperfusion after the administration of noradrenaline that was statistically significant.
  
  
  CONCLUSIONS
  Our data support the hypothesis that norepinephrine should be used with extreme caution in the perioperative setting after esophagectomy. Further studies, however, will be required to evaluate the clinical significance of this finding.
authors.affiliation: 1st Department of Propaedeutic Surgery, Athens Medical School, University of Athens, Hippocration General Hospital of Athens, Athens, Greece.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Theodorou
authors.forename: Panagiotis G
authors.initials: PG
authors.lastname: Drimousis
authors.forename: Andreas
authors.initials: A
authors.lastname: Larentzakis
authors.forename: Apostolos
authors.initials: A
authors.lastname: Papalois
authors.forename: Konstantinos G
authors.initials: KG
authors.lastname: Toutouzas
authors.forename: Stylianos
authors.initials: S
authors.lastname: Katsaragakis
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D000818:Animals; D004195:Disease Models, Animal; D004837:Epinephrine / Q000494:pharmacology*; D016629:Esophagectomy / Q000379:methods*; D006084:Graft Rejection; D006085:Graft Survival; D017551:Microdialysis / Q000379:methods; D010477:Perfusion / Q000379:methods; D019990:Perioperative Care; D011897:Random Allocation; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D013270:Stomach / Q000187:drug effects / Q000637:transplantation*; D034421:Sus scrofa; D013997:Time Factors; D016378:Tissue Transplantation / Q000379:methods; D014662:Vasoconstrictor Agents / Q000494:pharmacology*
chemical_list: D014662:Vasoconstrictor Agents; D004837:Epinephrine