Utility of Monitoring Mesenteric Flaps Using a Pencil Doppler Probe after Free Jejunal Transfer

DOI
  • FUJITA Satoshi
    Plastic and Reconstructive Surgery, Mitoyo General Hospital
  • KAWAMURA Susumu
    Plastic and Reconstructive Surgery, National Hospital Organization Shikoku Cancer Center
  • TSUNASHIMA Chiharu
    Association of Medical Corporation, Tsunashima-kai Kousei Hospital

Bibliographic Information

Other Title
  • 遊離空腸移植術において腸間膜弁にドプラを併用したモニタリング法の有用性

Description

The use of a free jejunal transfer to reconstruct the defects produced during the resection of the pharynx, larynx, or cervical esophagus is becoming a standard approach. Jejunal flap necrosis due to inadequate blood circulation is a serious postoperative complication of jejunal transplantation. However, the methods used to evaluate implant blood flow in such cases vary among institutions.<br>From January 2013 to January 2015, we monitored the blood flow through the mesentery using a pencil Doppler probe in eight patients. The monitoring was ceased after the viability of the jejunal flap had been directly confirmed using an endoscope. No abnormalities were detected during the Doppler scans, and no postoperative complications occurred in these patients.<br>The setting up of the monitoring equipment was easy, and we were able to evaluate the blood flow of the implants directly and indirectly. Thus, the monitoring of mesenteric flaps using a pencil Doppler probe is useful for evaluating postoperative blood flow in transplanted intestines.

Journal

Keywords

Details 詳細情報について

  • CRID
    1390282679397449984
  • NII Article ID
    130005158581
  • DOI
    10.11270/jjsrm.29.120
  • ISSN
    21859949
    09164936
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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