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Gastric ischemic conditioning prior to esophagectomy is associated with decreased stricture rate and overall anastomotic complications

Journal of Gastrointestinal Surgery Aug 30, 2018

Siegal SR, et al. - As gastric ischemic conditioning prior to esophagectomy can increase neovascularization of the new conduit, researchers analyzed how gastric conditioning was associated with all anastomotic outcomes as well as overall morbidity in the cohort of esophagectomy patients. A retrospective review of patients undergoing esophagectomy was performed from 2010 to 2015 in a National Cancer Institute-designated center. Among morbidly obese patients, those with cardiovascular disease or uncontrolled diabetes, and those requiring feeding jejunostomy and active tobacco users, ischemic conditioning (IC: comprising transection of the short gastric vessels and ligation of the left gastric vessels) was performed. Findings suggest fewer overall anastomotic complications, fewer strictures, and less morbidity in relation to gastric ischemic conditioning.
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