Die arterielle Durchblutung des Schlauchmagens beim Osophagusersatz

Lindecken, K. D.; Vogel, Johan de

doi:10.1159/000170602

Cited by 4 publications

(2 citation statements)

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“…in over 400 celiac trunk angiograms 3 . Lindecken and Vogel showed the significant contribution of the vessels of the lesser curvature to the total gastric blood supply and therefore recommended the preservation of this arcade 6 …”

Section: Introduction and Rationalementioning

confidence: 99%

Fundus rotation gastroplasty: rationale, technique and results*

Uhl

Strobel

Friess

et al. 2002

Diseases of the Esophagus

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Anastomotic leakage is the main factor (up to 30%) for postoperative morbidity and mortality after esophageal resection. Compromised anastomotic perfusion after dissection of supplying vessels for gastric tube formation and tension on the suture line are the two main reasons for anastomotic insufficiency. To prevent anastomotic leakage, a new technique for gastric tube formation after esophageal resection has been developed and introduced into surgical practice: the fundus rotation gastroplasty (FRG). The following paper summarizes rationale, technique and early results of this new technique. It is shown that the FRG is a safe and effective technique for esophageal reconstruction and offers important advantages over conventional gastroplasties: (i). the improved perfusion of the oral part of the tube; (ii). the gain of tube length allowing for a safer performance of even pharyngeal anastomosis as shown by the low insufficiency rate of 9%; and (iii). the increase of remaining gastric reservoir supporting physiologic stomach and gut function. Therefore, the FRG seems to be an alternative and safe method for esophageal reconstruction, especially for high anastomotic locations.

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Section: Introduction and Rationalementioning

confidence: 99%

Fundus rotation gastroplasty: rationale, technique and results*

Uhl

Strobel

Friess

et al. 2002

Diseases of the Esophagus

View full text Add to dashboard Cite

show abstract

“…However, this technique does not take into consideration the anatomic variations of gastric blood supply as described by Yamato et al [26] in over 400 celiac trunk angiograms. Furthermore, Lindecken and Vogel [27] demonstrated the significant contribution of the lesser curvature to the total gastric blood supply and therefore recommended the preservation of this arcade. Likewise, Collard et al [28] recommended using the whole stomach for reconstruction, because the fundus is supplied mainly through intramural vascular anastomotic pathways along the lesser curvature rather than through the greater curvature segment.…”

Section: Discussionmentioning

confidence: 99%