Evidence map›Paper›PMID 38455484›Full record

ArticleAnnals of gastroenterological surgery2024

Blood flow ratio in the gastric conduit measured by laser Doppler flowmetry: A predictor of anastomotic leakage after esophagectomy.

Hirotaka Ishida, Toshiaki Fukutomi, Yusuke Taniyama, Chiaki Sato, Hiroshi Okamoto, Yohei Ozawa, Yu Onodera, Ken Koseki, Michiaki Unno, Takashi Kamei

Open access · goldAbstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Hirotaka IshidaDepartment of Surgery Tohoku University Graduate School of Medicine Sendai-shi Miyagi Japan.ORCID https://orcid.org/0000-0002-6814-3564
Toshiaki FukutomiDepartment of Surgery Tohoku University Graduate School of Medicine Sendai-shi Miyagi Japan.
Yusuke TaniyamaDepartment of Surgery Tohoku University Graduate School of Medicine Sendai-shi Miyagi Japan.
Chiaki SatoDepartment of Surgery Tohoku University Graduate School of Medicine Sendai-shi Miyagi Japan.
Hiroshi OkamotoDepartment of Surgery Tohoku University Graduate School of Medicine Sendai-shi Miyagi Japan.
Yohei OzawaDepartment of Surgery Tohoku University Graduate School of Medicine Sendai-shi Miyagi Japan.
Yu OnoderaDepartment of Surgery Tohoku University Graduate School of Medicine Sendai-shi Miyagi Japan.
Ken KosekiDepartment of Surgery Tohoku University Graduate School of Medicine Sendai-shi Miyagi Japan.
Michiaki UnnoDepartment of Surgery Tohoku University Graduate School of Medicine Sendai-shi Miyagi Japan.
Takashi KameiDepartment of Surgery Tohoku University Graduate School of Medicine Sendai-shi Miyagi Japan.
Tohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anastomotic leakage after esophagectomy is a common complication. Laser Doppler flowmetry (LDF) can quantitatively evaluate the blood flow in the gastric conduit. Methods: A total of 326 patients who underwent thoracoscopic/robot-assisted esophagectomy followed by gastric conduit reconstruction and end-to-side anastomosis were enrolled. We divided the gastric conduit into zones I (dominated by the right gastroepiploic vessels), II (dominated by the left gastroepiploic vessels), and III (perfused with short gastric vessels). Before pulling up the gastric conduit to the neck, LDF values were measured at the pylorus, the border between zones I and II (zone I/II), the border between zones II and III (zone II/III), and the gastric conduit tip (tip). The blood flow ratio was calculated as the LDF value divided by the LDF value at the pylorus. Results: Anastomotic leakage developed in 32 of 326 patients. Leakage was significantly associated with the blood flow ratio at the tip ( Conclusion: Anastomotic leakage after esophagectomy was significantly associated with the blood flow ratio at the tip of the gastric conduit. Preservation of the blood supply to the tip via the gastric wall might contribute to a decreased incidence of anastomotic leakage.

Indexed as

anastomotic leakageend‐to‐side anastomosisgastric conduitlaser Doppler flowmetry

Identifiers

PMID38455484
PMCPMC10914705
OpenAlexW4388869279

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.