Laser-assisted fluorescent-dye angiography (LAA) was used prospectively in 150 patients undergoing esophagectomy with gastric pull-up to assess blood flow in the gastric tube. Anastomotic leak occured in 17%. Anastomoses performed in areas of normal perfusion had a 2% leak rate, compared to a 45% leak rate when anastomoses were performed in areas of poor perfusion.
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Intraoperative Assessment of Perfusion of the Gastric Graft and Correlation With Anastomotic Leaks After Esophagectomy
Submitted by: Mark Ferguson
Source: Annals of Surgery
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Author(s): Zehetner, Jörg; DeMeester, Steven R.; Alicuben, Evan T.; Oh, Daniel S.; Lipham, John C.; Hagen, Jeffrey A.; DeMeester, Tom R.
