Usefulness of Indocyanine Green Angiography for Evaluation of Blood Supply in a Reconstructed Gastric Tube During Esophagectomy | Zendy

Toru Ishiguro | Zendy; Youichi Kumagai | Zendy; Tomojiro Ono | Zendy; Hideko Imaizumi | Zendy; Hiroaki Honjo | Zendy; Okihide Suzuki | Zendy; Tetsuya Ito | Zendy; Norihiro Haga | Zendy; Kohki Kuwabara | Zendy; Jun Sobajima | Zendy; Kensuke Kumamoto | Zendy; Keiichoro Ishibashi | Zendy; Hiroyuki Baba | Zendy; Hideyuki Ishida | Zendy; Tatsuyuki Kawano | Zendy

Open Access

Usefulness of Indocyanine Green Angiography for Evaluation of Blood Supply in a Reconstructed Gastric Tube During Esophagectomy

Author(s) -

Toru Ishiguro,

Youichi Kumagai,

Tomojiro Ono,

Hideko Imaizumi,

Hiroaki Honjo,

Okihide Suzuki,

Tetsuya Ito,

Norihiro Haga,

Kohki Kuwabara,

Jun Sobajima,

Kensuke Kumamoto,

Keiichoro Ishibashi,

Hiroyuki Baba,

Hideyuki Ishida,

Tatsuyuki Kawano

Publication year - 2013

Publication title -

international surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.132

H-Index - 39

eISSN - 2520-2456

pISSN - 0020-8868

DOI - 10.9738/cc159.1

Subject(s) - medicine , indocyanine green , esophagectomy , angiography , perfusion , tube (container) , gastroepiploic artery , radiology , left gastric artery , right gastroepiploic artery , surgery , nuclear medicine , artery , esophageal cancer , cancer , mechanical engineering , bypass grafting , engineering

We report a case of necrosis of a reconstructed gastric tube in a 77-year-old male patient who had undergone esophagectomy. At the time of admission, the patient had active gastric ulcers, but these were resolved by treatment with a proton pump inhibitor. Subtotal esophagectomy with gastric tube reconstruction was performed. Visually, the reconstructed gastric tube appeared to be well perfused with blood. Using indocyanine green (ICG) fluorescence imaging the gastroepiploic vessels were well enhanced and no enhancement was visable 3 to 4 cm from the tip of the gastric tube. Four days after esophagectomy, gastric tube necrosis was confirmed, necessitating a second operation. The necrosis of the gastric tube matched the area that had been shown to lack blood perfusion by ICG angiography imaging. It seems that ICG angiography is useful for the evaluation of perfusion in a reconstructed gastric tube.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research