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2007 | 79 | 9 | 581-586
Tytuł artykułu

The Impact of Nissen-Rossetti Fundoplication on the Perfusion in Microcirculation of the Gastric Fundus

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the study was to investigate the impact of Nissen-Rossetti fundoplication on the blood flow in the microcirculation of the gastric fundus.Material and methods. Eight patients undergoing Nissen-Rossetti fundoplication were included in the study. Perfusion in the gastric fundus was measured intraoperatively with laser Doppler flowmetry. An adhesive, flat, silicon probe was attached to the serosa in the same anatomical location during every measurement. Microcirculatory blood flow was recorded before and after fundoplication without ligation and division of the short gastric vessels.Results. In each patient, fundoplication led to increases in resting perfusion. Hyperperfusion was evoked by two mechanisms: increase in average blood flow and increase in vasomotion's amplitude and frequency.Conclusions. Fundoplication constitutes a new distribution of blood flow in the microcirculation of the gastric fundus, irrespective of its indication as a treatment of reflux disease or a supplement to cardiomyotomy in patients with achalasia. The procedure, when correctly performed, leads to local reactive hyperemia. Decreases in fundal perfusion suggest that the fundoplication wrap was created under excessive tension and may lead to dysphagia and local ischemia with consequences on motility of the lower esophagus. Thus, the assessment of change in perfusion of the gastric fundus after fundoplication might be a valuable tool in the routine quality control for appropriate performance of the fundoplication wrap.
Wydawca

Rocznik
Tom
79
Numer
9
Strony
581-586
Opis fizyczny
Daty
wydano
2007-09-01
online
2008-02-11
Twórcy
  • Department of General Surgery, Prof. F. Skubiszewski Medical University, Lublin
  • Department of General Surgery, Prof. F. Skubiszewski Medical University, Lublin
  • Department of General Surgery, Prof. F. Skubiszewski Medical University, Lublin
  • Department of Vascular Surgery and Angiology, Prof. F. Skubiszewski Medical University, Lublin
  • Department of Surgery, Public Hospital, Krasnystaw
autor
  • Department of Surgery, Pope John Paul the 2nd Public Hospital, Zamość
Bibliografia
  • Nilsson GE, Tenland T, Oberg PA: Evaluation of laser Doppler flowmeter for measurement of tissue blood flow. IEE Trans Biomed Eng 1980; 27: 12-19.[Crossref]
  • Przywara S: Laserowa dopplerowska przepływometria. Acta Bio-optica et Informatica Medica 1997; 2,3,4 (3): 111-14.
  • Lunde OC, Kvernebo K, Larsen S: Evaluation of endoscopic laser Doppler flowmetry for measurement of human gastric blood flow. Methodologic aspects. Scand J Gastroenterol 1988; 23(9): 1072-78.[PubMed][Crossref]
  • Johansson K, Ahn H, Lindhagen J, Lundgren O: Tissue penetration and measuring depth of laser Doppler flowmetry in the gastrointestinal application. Scand J Gastroenterol 1987; 22(9): 1081-88.[Crossref][PubMed]
  • Intaglietta M: Arteriolar vasomotion: implications for tissue ischemia. Blood Vessels 1991; 28 Suppl 1: 1-7.[PubMed]
  • Eleftheriadis E, Kotzampassi K, Vafiadis M et al.: 24-hr measurement of gastric mucosal perfusion in conscious humans. Hepatogastroenterology 1998; 45(24): 2453.
  • Ahn H, Ivarsson LE, Johansson K et al.: Assessment of gastric blood flow with laser Doppler flowmetry. Scand J Gastroenterol 1988; 23(10): 1203-10.[Crossref][PubMed]
  • Duranteau J, Sitbon P, Teboul JL: Effects of epinephrine, norepinephrine, or the combination of norepinephrine and dobutamine on gastric mucosa in septic shock. Crit Care Med 1999; 27(5): 893-900.[PubMed][Crossref]
  • Iwao T, Toyonaga A, Shigemori H: Omeprazole administration does not impair gastrointestinal mucosal perfusion, oxygenation, and hexosamine generation. Gastrointest Endosc 1995; 41(5): 497-501.[Crossref][PubMed]
  • Kato S, Hirata T, Kitamura M: Gastric hyperemic response during vagally mediated acid secretion by TRH analog in rats. J Pharmacol Exp Ther 1997; 282(3): 1351-57.[PubMed]
  • Kato S, Hirata T, Takeuchi K: Nitric oxide, prostaglandin, and sensory neurons in gastric mucosal blood flow response during acid secretion in rats. Gen Pharmacol 1997; 28(4): 513-19.[Crossref][PubMed]
  • Kato S, Okabe S, Takeuchi K: Pathways mediating pentagastrin-induced mucosal blood flow response in rat stomachs. Dig Dis Sci 1996; 41(3): 485-91.[PubMed][Crossref]
  • Kato S, Takeuchi K, Okabe S: Mechanism by which histamine increases gastric mucosal blood flow in the rat. Role of luminal H+. Dig Dis Sci 1993; 38(7): 1224-32.[Crossref][PubMed]
  • Boyle NH, Pearce A, Hunter D: Intraoperative scanning laser Doppler flowmetry in the assessment of gastric tube perfusion during esophageal resection. J Am Coll Surg 1999; 188(5): 498-502.
  • Przywara S, Wallner G, Dąbrowski A i wsp.: Zastosowanie metody laserowej przepływometrii dopplerowskiej do oceny ukrwienia zespolenia przełykowego u chorych poddawanych operacji rekonstrukcji przełyku. Acta Bio-optica et Informatica Medica 2005; 3-4 (12): 32-34.
  • Schilling MK, Redaelli C, Friess H: Evaluation of laser doppler flowmetry for the study of benign and malignant gastric blood flow in vivo. Gut 1999; 45(3): 341-45.[Crossref]
  • Allen PI, Chesner I, Wheatley K: Human gastric perfusion: evidence for non-uniformity of blood flow. Br J Surg 1988; 75(8): 741-42.
  • Gana TJ, Soenen GM, Koo J: A controlled study of human resting gastric mucosal blood flow by endoscopic laser-Doppler flowmetry. Gastrointest Endosc 1990; 36(3): 264-67.[PubMed][Crossref]
  • Johansson K: Regional blood flow and reflux gastritis in the resected stomach. Endoscopy 1994; 26(9): 745-47.[PubMed][Crossref]
  • Wallner G: Fundoplikacja Nissena-Rossetti'ego w chirurgicznym leczeniu choroby z zarzucania żołądkowo-przełykowego [rozprawa]. Akademia Medyczna, Lublin 1996.
  • Sato N, Kawano S, Tsuji S: Gastric blood flow in ulcer diseases. Scand J Gastroenterol (Suppl) 1995; 208: 14-20.[Crossref]
  • Clarke DL, Thomson SR: Attenuated gastric mucosal blood flow predicts non-healing of benign gastric ulcers. Eur Surg Res 2002; 34(6): 432-36.[PubMed][Crossref]
  • Guslandi M, Sorghi M, Foppa L: Congestive gastropathy versus chronic gastritis: a comparison of some pathophysiological aspects. Digestion 1993; 54(3): 160-62.[Crossref][PubMed]
  • Yamaguchi T: Relationship between gastric mucosal hemodynamics and gastric motility. Gastroenterol Jpn 1990; 25(3): 299-305.[PubMed][Crossref]
  • Misiuna P, Wallner G: Should modified Heller's cardiomyotomy be combined with antireflux procedure? W: Recent advances in diseases of the esophagus (eds. Nabeya K, Hanaoka T, Nogami H) Springer Verlag, Tokyo 1993: 212-17.
  • Wallner G, Misiuna P, Polkowski W: Clinical evaluation of long term results of cardiomyotomy for achalasia. W: Joint Meeting of Surgery, Gastroenterology and endoscopy (eds. Moreno-Gonzales E, Balibrea JL, Escartin P, Pajares JM., Lygidakis NJ, Hidalgo-Pascual M). International Gastro-Surgical Club Proceedings, Jarpyo Editores Madrid 1994: 135-139.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
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