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Use of Rapid Sampling Microdialysis for Intraoperative Monitoring of Bowel Ischemia

  • Original Contribution
  • Published:
Diseases of the Colon & Rectum

An Erratum to this article was published on 25 September 2008

An Erratum to this article was published on 25 September 2008

Abstract

Purpose

Intestinal ischemia is a major cause of anastomotic leak and death and remains a clinical challenge as the physician relies on several nonspecific signs, biologic markers, and radiologic studies to make the diagnosis. This study used rapid sampling online microdialysis to evaluate the biochemical changes occurring in a segment of human bowel during and after resection, and assessed for the feasibility and reproducibility of this technique in monitoring intestinal ischemia.

Methods

A custom made, rapid sampling online microdialysis analyzer was used to monitor the changes in the bowel wall of specimens being resected intraoperatively. Two patients were recruited for the pilot study to optimize the analyzer and seven patients undergoing colonic resections were recruited for the data collection and analysis.

Results

The concentration of glucose in the extracellular bowel wall fluid decreased transiently after division of individual feeding arteries followed by a rebound increase in the concentration back to baseline concentrations. After completion of resection, glucose concentrations continued to decrease while lactate concentrations increased constantly.

Conclusion

Rapid sampling microdialysis was feasible in the clinical environment. These results suggest that tissue responds to ischemic insult by mobilizing glucose stores which later decrease again, whereas lactate concentrations constantly increased.

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Author information

Authors and Affiliations

  1. Department of BioSurgery and Surgical Technology, St. Mary’s Hospital, Imperial College London, London, United Kingdom

    S. Deeba M.R.C.S., B. G. Hanna F.R.C.S., P. Pareskevas F.R.C.S., O. Aziz M.R.C.S. & A. Darzi F.R.C.S.

  2. Department of Bioengineering, Imperial College London, Bagrit Centre, London, United Kingdom

    E. P. Corcoles M.Sc. & M. G. Boutelle Ph.D.

Authors
  1. S. Deeba M.R.C.S.
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  2. E. P. Corcoles M.Sc.
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  3. B. G. Hanna F.R.C.S.
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  4. P. Pareskevas F.R.C.S.
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  5. O. Aziz M.R.C.S.
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  6. M. G. Boutelle Ph.D.
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  7. A. Darzi F.R.C.S.
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Corresponding author

Correspondence to B. G. Hanna F.R.C.S..

Additional information

This work was supported by Covidien.

An erratum to this article can be found at http://dx.doi.org/10.1007/s10350-008-9433-y

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Deeba, S., Corcoles, E.P., Hanna, B.G. et al. Use of Rapid Sampling Microdialysis for Intraoperative Monitoring of Bowel Ischemia. Dis Colon Rectum 51, 1408–1413 (2008). https://doi.org/10.1007/s10350-008-9375-4

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  • DOI: https://doi.org/10.1007/s10350-008-9375-4

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