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Changes in Esophageal Blood Flow by Esophageal Transection with Devascularization


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Title: Changes in Esophageal Blood Flow by Esophageal Transection with Devascularization
Authors: Tomita, Masao / Ayabe, Hiroyoshi / Miura, Toshio / Kawahara, Katsunobu / Kugimiya, Toshiyasu
Authors (alternative): 富田, 正雄 / 綾部, 公懿 / 三浦, 敏夫 / 川原, 克信 / 釘宮, 敏定
Issue Date: 25-Oct-1983
Citation: Acta medica Nagasakiensia. 1983, 28(1-4), p.136-141
Abstract: Changes in the blood flow in the wall of the esophagus were experimentally measured with the use of the hydrogen clearance method to evaluate the influence of operative procedure by transectional esophago-esophagostomy with paraesophageal and perigastric devascularization in the treatment of esophageal varices. As a result of this study, an approximately 30% reduction in blood flow of the adventitia was confirmed according to the procedure of paraesophageal devascularization. When performing a further procedure of esophageal transection, total blood flow was reduced to 50%. It is logical to conclude that the marked decrease in blood flow in the wall of the esophagus offers a great opportunity for the development of postoperative anastomosis insufficiency. It is of interest to note that the incidence of postoperative complications in the performance of this operation for esophageal varices has become significant on the basis of blood flow changes in the wall of the esophagus.
URI: http://hdl.handle.net/10069/15647
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 28, No. 1-4

Citable URI : http://hdl.handle.net/10069/15647

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