Surgical management with or without a nasogastric tube in esophageal repairs
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Dosyalar
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
ELSEVIER IRELAND LTD
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: The aim of the study was to compare surgical management with or without a nasogastric tube (NGT) to prevent anastomotic stricture that occurred following esophageal repairs (ERs). Methods: Twelve New Zealand rabbits were divided equally into 2 m: with a NGT (experimental group) and without a NGT (control group). A 1-cm-length of the cervical esophagus was resected through a cervical incision and then anastomosis was performed using the NGT and keeping it in place for 6 days in the experimental group. The same procedures were performed in the control group. Both groups were fed parenterally for 6 days and orally after esophagography on postoperative day 7 as long as there was no esophageal leakage. The rabbits were sacrificed to evaluate diameter of the esophageal lumen (DOTEL), bursting pressure (BP), tissue hydroxyproline (HP) and wound healing scores (WHSs) in the anastomosis lines 8 weeks later. Results: In the experimental group, DOTEL, BP, and HP were significantly lower than they were in the control group. WHSs in the experimental group were not higher than they were in the control group. Conclusions: Surgical management without a NGT is more effective than management with a NGT in ERs as shown by increased DOTEL, BP, and HP levels. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
Açıklama
Anahtar Kelimeler
Nasogastric tube, Esophageal repairs
Kaynak
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY
WoS Q Değeri
Q2
Scopus Q Değeri
Q2
Cilt
76
Sayı
1
