Preoperative embolization of gastric arteries for esophageal cancer
Preoperative embolization of gastric arteries for esophageal cancer
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DOI：
10.1016/s0039-6060(96)80075-4
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发表时间：
1996-09-01
期刊：
影响因子：
3.8
通讯作者：
Takagi, H
中科院分区：
文献类型：
--
作者：
Akiyama, S;Ito, S;Takagi, H
背景我们开发了一种新的术前栓塞治疗方法，试图预防食管切除术后吻合口瘘。我们报告的结果，这种新的治疗。本文报告24例食管癌术前行PET栓塞治疗。穿刺股动脉，进行腹腔血管造影。栓塞胃左动脉和脾动脉。右胃动脉然后在第二或第三分支到胃壁以外的部位进行栓塞。用激光血流仪测定胃管置入前后胃组织血流量，比较胃管置入前后胃组织血流量变化。PET患者的胃血流量平均减少23%，未进行PET的患者减少65%。24例PET患者中有21例（88%）维持了50%以上的组织血流量，12例未进行PET的患者中有1例（8%）维持了50%以上的组织血流量（t检验p <0.001）。无严重并发症发生。术前栓塞治疗是一种安全、简单的技术，胃内组织血流得到较好的保护。这项新技术有望减少食管手术后吻合口瘘的发生率。
Background. We developed a novel treatment of preoperative embolization therapy in an attempt to prevent anastomotic leakage after esophageal resection. We report the results of this new treatment.Methods. Preoperative embolization therapy (PET) was performed in 24 cases of esophageal carcinoma. The femoral artery was punctured, and celiac angiography was performed. The left gastric artery and splenic artery underwent embolization. The right gastric artery then underwent embolization at a site beyond the second or third branch to the gastric wall. With a laser flow meter the stomach tissue blood flow was measured before and after construction of the gastric tube, and the change in blood flow was compared.Results. The average decrease in gastric blood flow was 23% in patients with PET and 65% in patients without PET. Twenty-one (88%) of 24 cases maintained more than 50% tissue blood flow in patients with PET and in 1 (8%) of 12 in patients without PET (p < 0.001 by t test). No serious complications occurred.Conclusion. Preoperative embolization therapy is a safe and uncomplicated technique, and tissue blood flow in the stomach was better preserved. This new technique is expected to reduce the frequency of anastomotic leakage after esophageal operation.