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Related Experiment Videos

Preoperative embolization therapy for esophageal operation

S Akiyama1, Y Kodera, H Sekiguchi

  • 1Department of Surgery II, Nagoya University School of Medicine, Japan. akiyama@tsuru.med.nagoya-u.ac.jp

Journal of Surgical Oncology
|January 9, 1999
PubMed
Summary

Preoperative embolization therapy (PET) significantly enhances gastric tube blood flow after esophageal resection, reducing anastomotic leakage. This safe procedure improves outcomes for patients undergoing esophagectomy for cancer.

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Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Surgical Oncology

Background:

  • Anastomotic leakage is a significant complication after esophageal resection.
  • Augmenting gastric tube blood flow may prevent this complication.

Purpose of the Study:

  • To evaluate the clinical effects and complications of preoperative embolization therapy (PET).
  • To assess the impact of PET on gastric tube blood flow and anastomotic leakage after esophageal resection.

Main Methods:

  • PET involved embolizing the left gastric, right gastric, and splenic arteries, preserving the right gastroepiploic artery.
  • Gastric tube blood flow was measured before and after construction in patients who underwent PET (51) and a control group (20).

Main Results:

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  • Gastric tube blood flow was 67% of the initial upper stomach value after PET.
  • In the control group without PET, blood flow declined to 33% of the initial value.

Conclusions:

  • PET is a safe procedure for esophageal cancer patients.
  • PET augments tissue blood flow, decreasing anastomotic dehiscence after esophagectomy.