Fluoreszenzangiographie bei Ösophagusanastomosen

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Fluoreszenzangiographie bei Ösophagusanastomosen : Perfusionsbeurteilung des Magenschlauchs mit Indocyaningrün. / Duprée, A; von Kroge, P H; Izbicki, J R; Wipper, S H; Mann, O.

In: CHIRURG, Vol. 90, No. 11, 11.2019, p. 875-879.

Research output: SCORING: Contribution to journalSCORING: Review articleResearch

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@article{ea45f0e4b2174f29b43ca243ef56f437,
title = "Fluoreszenzangiographie bei {\"O}sophagusanastomosen: Perfusionsbeurteilung des Magenschlauchs mit Indocyaningr{\"u}n",
abstract = "BACKGROUND: The incidence of esophageal cancer continues to increase. Despite increasing experience in esophageal surgery and perioperative management, anastomotic leakage remains a frequent and severe complication.OBJECTIVE: The aim of this article is to demonstrate the current role of fluorescence angiography (FA) with indocyanine green (ICG) in the assessment of esophageal anastomoses. The main focus is on the evaluation of the perfusion situation.MATERIAL AND METHODS: A systematic search was carried out in PubMed and Medline on FA and ICG, especially with respect to current subjective and objective interpretation approaches of FA against the background of own research.RESULTS: The rate of anastomotic leakage remains high despite modern surgical procedures. Assessment of neoesophageal perfusion with FA can significantly reduce the rate of anastomotic leakage. At present, FA is mostly subjectively applied in small case studies. The study situation is heterogeneous. Randomized studies do not so far exist.CONCLUSION: The use of FA with ICG is suitable for evaluation of perfusion of the gastric tube. The implementation is simple and can be standardized. Prospective, randomized trials and objective quantification are needed in the future in order to clarify the potential of the technique.",
author = "A Dupr{\'e}e and {von Kroge}, {P H} and Izbicki, {J R} and Wipper, {S H} and O Mann",
year = "2019",
month = nov,
doi = "10.1007/s00104-019-01021-9",
language = "Deutsch",
volume = "90",
pages = "875--879",
journal = "CHIRURG",
issn = "0009-4722",
publisher = "Springer",
number = "11",

}

RIS

TY - JOUR

T1 - Fluoreszenzangiographie bei Ösophagusanastomosen

T2 - Perfusionsbeurteilung des Magenschlauchs mit Indocyaningrün

AU - Duprée, A

AU - von Kroge, P H

AU - Izbicki, J R

AU - Wipper, S H

AU - Mann, O

PY - 2019/11

Y1 - 2019/11

N2 - BACKGROUND: The incidence of esophageal cancer continues to increase. Despite increasing experience in esophageal surgery and perioperative management, anastomotic leakage remains a frequent and severe complication.OBJECTIVE: The aim of this article is to demonstrate the current role of fluorescence angiography (FA) with indocyanine green (ICG) in the assessment of esophageal anastomoses. The main focus is on the evaluation of the perfusion situation.MATERIAL AND METHODS: A systematic search was carried out in PubMed and Medline on FA and ICG, especially with respect to current subjective and objective interpretation approaches of FA against the background of own research.RESULTS: The rate of anastomotic leakage remains high despite modern surgical procedures. Assessment of neoesophageal perfusion with FA can significantly reduce the rate of anastomotic leakage. At present, FA is mostly subjectively applied in small case studies. The study situation is heterogeneous. Randomized studies do not so far exist.CONCLUSION: The use of FA with ICG is suitable for evaluation of perfusion of the gastric tube. The implementation is simple and can be standardized. Prospective, randomized trials and objective quantification are needed in the future in order to clarify the potential of the technique.

AB - BACKGROUND: The incidence of esophageal cancer continues to increase. Despite increasing experience in esophageal surgery and perioperative management, anastomotic leakage remains a frequent and severe complication.OBJECTIVE: The aim of this article is to demonstrate the current role of fluorescence angiography (FA) with indocyanine green (ICG) in the assessment of esophageal anastomoses. The main focus is on the evaluation of the perfusion situation.MATERIAL AND METHODS: A systematic search was carried out in PubMed and Medline on FA and ICG, especially with respect to current subjective and objective interpretation approaches of FA against the background of own research.RESULTS: The rate of anastomotic leakage remains high despite modern surgical procedures. Assessment of neoesophageal perfusion with FA can significantly reduce the rate of anastomotic leakage. At present, FA is mostly subjectively applied in small case studies. The study situation is heterogeneous. Randomized studies do not so far exist.CONCLUSION: The use of FA with ICG is suitable for evaluation of perfusion of the gastric tube. The implementation is simple and can be standardized. Prospective, randomized trials and objective quantification are needed in the future in order to clarify the potential of the technique.

U2 - 10.1007/s00104-019-01021-9

DO - 10.1007/s00104-019-01021-9

M3 - SCORING: Review

C2 - 31471660

VL - 90

SP - 875

EP - 879

JO - CHIRURG

JF - CHIRURG

SN - 0009-4722

IS - 11

ER -