ArticleJournal of surgical case reports2025
Assessment of colonic interposition graft using indocyanine green: expanding fluorescence imaging techniques in gastrointestinal surgery.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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4 authors.
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Abstract
Indocyanine green (ICG) fluorescence is a well-established intra-operative imaging technique used to assess adequate tissue perfusion in bowel anastomoses. Current evidence shows it to be a cost-effective and safe procedure effective in reducing anastomotic leak rates in colorectal anastomoses. However, the application of this imaging method to assess viability of colonic conduits in the upper gastrointestinal tract is rarely accounted for in the literature. Colonic interposition grafting following oesophagectomy is a complex procedure that carries many risks including conduit ischaemia or anastomotic leak, which are life-threatening complications. We present a case of a 55-year-old gentleman who underwent delayed oesophageal reconstruction with a colonic interposition graft following oesophageal conduit necrosis complicating an Ivor-Lewis oesophagectomy. To decrease risk of morbidity, ICG was administered intravenously to assess sufficient perfusion at the oesophago-colonic and entero-colonic anastomotic sites.
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