[Postoperative monitoring of the esophageal gastroplasty perfusion rate].
OBJECTIVE
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.


METHODS
Prospective observational study. SETTING PLACE: Department of surgery (surgical branches) intensive care unit and 1st surgical clinic, University hospital Olomouc.


METHODS
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.


RESULTS
Patients with anastomotic leakage on early post-operative period (n = 3) had significantly lower values of pHi than patients without anastomotic leakage (n = 8).


CONCLUSIONS
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.
Oddĕlení intenzivní péce chirurgických oborů FN Olomouc. kitt@centrum.cz
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M
Horáková
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C
Neoral
D000714:Anastomosis, Surgical / Q000009:adverse effects; D004938:Esophageal Neoplasms / Q000601:surgery*; D004944:Esophagoplasty; D005745:Gastric Acidity Determination; D006801:Humans; D006863:Hydrogen-Ion Concentration; D013270:Stomach / Q000098:blood supply / Q000637:transplantation*