Open AccessLaparoscopic Ischemic Conditioning of the Stomach for Esophageal Replacement
Author(s) -
Arnulf H. Hölscher,
Paul M. Schneider,
Christian A. Gutschow,
Wolfgang Schröder
Publication year - 2007
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/01.sla.0000245847.40779.10
Subject(s) - medicine , esophagectomy , surgery , stomach , anastomosis , gastric fundus , esophageal cancer , gastroenterology , cancer
A considerable percentage of morbidity and mortality after esophagectomy and gastric pull-up is due to leakage of the esophagogastrostomy, which is mainly caused by ischemia of the gastric fundus. Previous clinical studies demonstrated that impaired microcirculation of the gastric conduit almost recovers within the first 5 postoperative days. Therefore, this study was designed to improve gastric perfusion by laparoscopic ischemic conditioning of the stomach.