Lower Esophageal Motor Function and Mucosal Hemodynamics in Patients after Nonshunting Operations for Esophageal Varices

Between 1975 and 1989, 50 proximal gastrectomies (PG) and 55 esophageal transections (TR) were performed in our hospital. More than 5 years after PG, 6 patients had incurable anastomotic ulcers with bleeding. To determine the causes, the lower esophageal motor function and esophageal mucosal blood f...

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Veröffentlicht in:	Nippon Shokaki Geka Gakkai zasshi 1990, Vol.23(10), pp.2456-2459
Hauptverfasser:	Shiozaki, Hitoshi, Tamura, Shigeyuki, Kobayashi, Kenji, Yano, Hirohi, Tahara, Hideaki, Miyata, Mikiyo, Oka, Hiroshi, Doki, Yuichiro, Iihara, Keisuke, Ogawa, Micho, Kido, Yoshihiro, Murata, Atsuo, Tsujinaka, Toshimasa, Nishijima, Junichi, Mori, Takesada
Format:	Artikel
Sprache:	eng ; jpn
Schlagworte:	nonshunt operation methods for esophageal varices postoperative esophageal motor function postoperative esophageal mucosal blood flow
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Zusammenfassung:	Between 1975 and 1989, 50 proximal gastrectomies (PG) and 55 esophageal transections (TR) were performed in our hospital. More than 5 years after PG, 6 patients had incurable anastomotic ulcers with bleeding. To determine the causes, the lower esophageal motor function and esophageal mucosal blood flow in 6 PG patients and 16 TR patients were investigated. In patients without reflux esopagitis who underwent TR, the swallowing contraction wave (31.9 mmHg) was higher than in patients with reflex esophagitis (14.0 mmHg). The esopageal motor functions did not differe significantly between the PG and TR groups. The index of mucosal blood volume in TR patients (99.1) was significantly (p
ISSN:	0386-9768 1348-9372
DOI:	10.5833/jjgs.23.2456