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JOURNAL ARTICLE
Jörg Zehetner, Steven R DeMeester, Evan T Alicuben, Daniel S Oh, John C Lipham, Jeffrey A Hagen, Tom R DeMeester
OBJECTIVE: The aim of the study was to evaluate laser-assisted fluorescent-dye angiography (LAA) to assess perfusion in the gastric graft and to correlate perfusion with subsequent anastomotic leak. BACKGROUND: Anastomotic leaks are a major source of morbidity after esophagectomy with gastric pull-up (GPU). In large part, they occur as a consequence of poor perfusion in the gastric graft. METHODS: Real-time intraoperative perfusion was assessed using LAA before bringing the graft up through the mediastinum...
July 2015: Annals of Surgery
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