Horáková M, Neoral C
Oddĕlení intenzivní péce chirurgických oborů FN Olomouc.
Rozhl Chir. 2009 Jan;88(1):18-20.
Quality assessment of perfusion of the gastric tube after esophagectomy by using the intramucosal pH measurements. Determination, if these measurements may have an early prediction for an anastomotic insufficiency.
Prospective observational study. SETTING PLACE: Department of surgery (surgical branches) intensive care unit and 1st surgical clinic, University hospital Olomouc.
11 patients with the esophageal cancer who underwent esopgagectomy with the replacement by the gastric tube were divided into two groups (leakage+ and leakage- anastomosis). The intramucosal pH (pHi) was measured by a gastric tonometry.
Patients with anastomotic leakage on early post-operative period (n = 3) had significantly lower values of pHi than patients without anastomotic leakage (n = 8).
Gastric tonometry is an useful method to evaluate gastric tube perfusion after esophagectomy. The intramucosal pH values significantly correlated with viability of gastric tube. Measurements of pHi is high predictionable of the risk of anastomotic insufficiency on early stage after surgery.
通过测量黏膜内pH值对食管癌切除术后胃管灌注进行质量评估。确定这些测量是否可对吻合口漏进行早期预测。
前瞻性观察研究。地点：奥洛穆茨大学医院外科（手术科室）重症监护病房及第一外科诊所。
11例行食管癌切除并以胃管替代食管的患者被分为两组（吻合口漏+组和吻合口漏-组）。通过胃张力计测量黏膜内pH值（pHi）。
术后早期发生吻合口漏的患者（n = 3）的pHi值显著低于未发生吻合口漏的患者（n = 8）。
胃张力计是评估食管癌切除术后胃管灌注的一种有用方法。黏膜内pH值与胃管活力显著相关。pHi测量对术后早期吻合口漏风险具有较高的预测性。
