Skip to main content

Advertisement

SpringerLink
Log in

Intraoperative Thermal Imaging in Esophageal Replacement: Its Use in the Assessment of Gastric Tube Viability

  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

We examined the use of intraoperative thermal imaging to assess the gastric vascularization and gastric tube viability during esophagectomy. The surface temperatures of the intact stomach, devascularized stomach, and gastric tube were measured in 13 patients from the proximal end to the pylorus longitudinally along the greater curvature or along the entire gastric tube during esophagectomy. Thermal images clearly demonstrated a surface temperature decline in the proximal region of the gastric tube. The mean decline rate in the surface temperature in the proximal region of the gastric tube in comparison to the intact stomach was 17.7% (P < 0.001). One patient who developed gastric tube necrosis exhibited a prominent drop in the surface temperature in the proximal region of 20.6% in comparison to that in the distal region, compared to that of 12.5% in other patients. Intraoperative thermal imaging is a noninvasive and reliable technique for the assessment of the gastric tube viability.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. B Launois JL Paul NJ Lygidakis JP Campion Y Malledant D Grossetti et al. (1983) ArticleTitleResults of the surgical treatment of carcinoma of the oesophagus Surg Gynecol Obstet 156 753–60 Occurrence Handle6190237 Occurrence Handle1:STN:280:DyaL3s3isVSrsA%3D%3D

    PubMed  CAS  Google Scholar 

  2. Y Lee H Fujita H Yamana T Kakegawa (1994) ArticleTitleFactors affecting leakage following esophageal anastomosis Surg Today 24 24–9 Occurrence Handle8054771 Occurrence Handle1:STN:280:DyaK2czjtFyqsw%3D%3D Occurrence Handle10.1007/BF01676880

    Article  PubMed  CAS  Google Scholar 

  3. PK Patil SG Patel RC Mistry RK Deshpande PB Desai (1992) ArticleTitleCancer of the esophagus: esophagogastric anastomotic leak-a retrospective study of predisposing factors J Surg Oncol 49 163–7 Occurrence Handle1548890 Occurrence Handle1:STN:280:DyaK387psVOntQ%3D%3D

    PubMed  CAS  Google Scholar 

  4. VA Anikin KG McManus AN Graham JA McGuigan (1997) ArticleTitleTotal thoracic esophagectomy for esophageal cancer J Am Coll Surg 185 525–9 Occurrence Handle9404874 Occurrence Handle1:STN:280:DyaK1c%2Fmslekug%3D%3D

    PubMed  CAS  Google Scholar 

  5. K Alanezi JD Urschel (2004) ArticleTitleMortality secondary to esophageal anastomotic leak Ann Thorac Cardiovasc Surg 10 71–4 Occurrence Handle15209546

    PubMed  Google Scholar 

  6. FW Mohr J Matloff W Grundfest A Chaux R Kass C Blanche et al. (1989) ArticleTitleThermal coronary angiography: a method for assessing graft patency and coronary anatomy in coronary bypass surgery Ann Thorac Surg 47 441–9 Occurrence Handle2784666 Occurrence Handle1:STN:280:DyaL1M7pt1Khtw%3D%3D Occurrence Handle10.1016/0003-4975(89)90390-1

    Article  PubMed  CAS  Google Scholar 

  7. A Ringberg B Palmer S Bornmyr SE Lindell (1987) ArticleTitleThermography after subcutaneous mastectomy and reconstruction with silicone gel prosthesis: a pilot study Ann Plast Surg 19 297–305 Occurrence Handle3688775 Occurrence Handle1:STN:280:DyaL1c%2FnsFOhtA%3D%3D

    PubMed  CAS  Google Scholar 

  8. Y Itoh A Aria (1998) ArticleTitleUse of recovery-enhanced thermography in the diagnosis of undescended testes Eur Urol 33 209–13 Occurrence Handle10.1159/000019538

    Article  Google Scholar 

  9. AA Moss HY Kressel AC Brito (1981) ArticleTitleUse of thermography to predict intestinal viability and survival after ischemic injury: a blind experimental study Invest Radiol 16 24–9 Occurrence Handle7216692 Occurrence Handle1:STN:280:DyaL3M7mslCntQ%3D%3D

    PubMed  CAS  Google Scholar 

  10. JP Brooks WB Perry AT Putnum RE Karulf (2000) ArticleTitleThermal imaging in the detection of bowel ischemia Dis Colon Rectum 43 1319–21 Occurrence Handle11005506 Occurrence Handle1:STN:280:DC%2BD3cvltVGhsA%3D%3D Occurrence Handle10.1007/BF02237446

    Article  PubMed  CAS  Google Scholar 

  11. JA Salo VJ Perhoniemi LO Heikkinen KA Verkkala AA Jarvinen (1992) ArticleTitlePulse oximetry for the assessment of gastric tube circulation in esophageal replacement Am J Surg 163 446–7 Occurrence Handle1558287 Occurrence Handle1:STN:280:DyaK383hsVOltw%3D%3D Occurrence Handle10.1016/0002-9610(92)90052-S

    Article  PubMed  CAS  Google Scholar 

  12. D Korenaga Y Toh S Maekawa T Ikeda K Sugimachi (1998) ArticleTitleIntra-operative measurement of the tissue blood flow for evaluating blood supply to the gastric tube for esophageal reconstruction Hepatogastroenterology 45 2179–80 Occurrence Handle9951889 Occurrence Handle1:STN:280:DyaK1M7jsFelsg%3D%3D

    PubMed  CAS  Google Scholar 

  13. Y Ikeda M Niimi S Kan T Shatari H Takami S Kodaira (2001) ArticleTitleClinical significance of tissue blood flow during esophagectomy by laser Doppler flowmetry J Thorac Cardiovasc Surg 122 1101–6 Occurrence Handle11726885 Occurrence Handle1:STN:280:DC%2BD3MnotVGlug%3D%3D Occurrence Handle10.1067/mtc.2001.117835

    Article  PubMed  CAS  Google Scholar 

  14. T Miyazaki H Kuwano H Kato M Yoshikawa H Ojima K Tsukada et al. (2002) ArticleTitlePredictive value of blood flow in the gastric tube in anastomotic insufficiency after thoracic esophagectomy World J Surg 26 1319–23 Occurrence Handle12297918 Occurrence Handle10.1007/s00268-002-6366-9

    Article  PubMed  Google Scholar 

  15. K Johansson A Jakobsson K Lindahl K Lindhagen O Lundgren GE Nilsson (1991) ArticleTitleInfluence of fibre diameter and probe geometry on the measuring depth of laser Doppler flowmetry in the gastrointestinal application Int J Microcirc Clin Exp 10 219–29 Occurrence Handle1835454 Occurrence Handle1:STN:280:DyaK38%2FmsVCjtA%3D%3D

    PubMed  CAS  Google Scholar 

  16. NH Boyle A Pearce D Hunter WJ Owen RC Mason (1999) ArticleTitleIntraoperative scanning laser Doppler flowmetry in the assessment of gastric tube perfusion during esophageal resection J Am Coll Surg 188 498–502 Occurrence Handle10235577 Occurrence Handle1:STN:280:DyaK1M3kvFKmtA%3D%3D Occurrence Handle10.1016/S1072-7515(99)00016-2

    Article  PubMed  CAS  Google Scholar 

  17. B Gannon J Browning P O'Brien P Rogers (1984) ArticleTitleMucosal microvascular architecture of the fundus and body of human stomach Gastroenterology 86 866–75 Occurrence Handle6706070 Occurrence Handle1:STN:280:DyaL2c7lvFektQ%3D%3D

    PubMed  CAS  Google Scholar 

  18. J Junila O Kaarela H Makarainen T Waris (1993) ArticleTitleAssessment of tissue viability by thermography after experimentally produced frostbite of the rabbit ear Acta Radiol 34 622–4 Occurrence Handle8240900 Occurrence Handle1:STN:280:DyaK2c%2FlvFKluw%3D%3D Occurrence Handle10.3109/02841859309175419

    Article  PubMed  CAS  Google Scholar 

  19. WW Roberts TA Dinkel PG Schulam L Bonnell LR Kavoussi (1997) ArticleTitleLaparoscopic infrared imaging Surgical Endosc 11 1221–3 Occurrence Handle1:STN:280:DyaK1c%2FktlKkug%3D%3D Occurrence Handle10.1007/s004649900575

    Article  CAS  Google Scholar 

  20. M Sekido Y Yamamoto H Minakawa S Sasaki H Furukawa T Sugihara et al. (2003) ArticleTitleUse of the “supercharge” technique in esophageal and pharyngeal reconstruction to augment microvascular blood flow Surgery 134 420–4 Occurrence Handle14555928 Occurrence Handle10.1067/S0039-6060(03)00219-8

    Article  PubMed  Google Scholar 

  21. H Nagawa Y Seto T Nakatsuka S Kizaki T Muto (1997) ArticleTitleMicrovascular anastomosis for additional blood flow in reconstruction after intrathoracic esophageal carcinoma surgery Am J Surg 173 131–3 Occurrence Handle9074379 Occurrence Handle1:STN:280:DyaK2s3ivVejsw%3D%3D Occurrence Handle10.1016/S0002-9610(96)00410-2

    Article  PubMed  CAS  Google Scholar 

  22. Y Inoue Y Tai H Fujita S Tanaka H Migita K Kiyokawa et al. (1994) ArticleTitleA retrospective study of 66 esophageal reconstructions using microvascular anastomosis: problems and our methods for atypical cases Plast Reconstr Surg 94 277–87 Occurrence Handle8041818 Occurrence Handle1:STN:280:DyaK2czhs1OgsQ%3D%3D Occurrence Handle10.1097/00006534-199408000-00009

    Article  PubMed  CAS  Google Scholar 

  23. M Murakami A Sugiyama T Ikegami H Aruga K Matsushita K Ishida et al. (1999) ArticleTitleAdditional microvascular anastomosis in reconstruction after total esophagectomy for cervical esophageal carcinoma Am J Surg 178 263–6 Occurrence Handle10527451 Occurrence Handle1:STN:280:DyaK1MvlsVGktw%3D%3D Occurrence Handle10.1016/S0002-9610(99)00161-0

    Article  PubMed  CAS  Google Scholar 

  24. Y Matsuzaki M Edogawa M Maeda T Shimizu R Sekiya K Nakamura et al. (1999) ArticleTitleBeneficial effect of prostaglandin E1 on blood flow to the gastric tube after esophagectomy Ann Thorac Surg 67 908–10 Occurrence Handle10320226 Occurrence Handle1:STN:280:DyaK1M3ltF2ktg%3D%3D Occurrence Handle10.1016/S0003-4975(99)00065-X

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Surgery, Machida Municipal Hospital, 2-15-41 Asahimachi, Machida, Tokyo, 194-0023, Japan

    Katsunori Nishikawa, Hideki Matsudaira, Hideyuki Suzuki, Ryouji Mizuno, Nobuyoshi Hanyuu & Shuuichi Iwabuchi

  2. Department of Surgery, Jikei University School of Medicine, Tokyo, Japan

    Katsuhiko Yanaga

Authors
  1. Katsunori Nishikawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hideki Matsudaira
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hideyuki Suzuki
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ryouji Mizuno
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Nobuyoshi Hanyuu
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Shuuichi Iwabuchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Katsuhiko Yanaga
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nishikawa, K., Matsudaira, H., Suzuki, H. et al. Intraoperative Thermal Imaging in Esophageal Replacement: Its Use in the Assessment of Gastric Tube Viability. Surg Today 36, 802–806 (2006). https://doi.org/10.1007/s00595-006-3260-3

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-006-3260-3

Key words

Search

Navigation