Utility of Thermography of Reconstructed Gastric Conduit for Predicting Postoperative Anastomotic Leakage After Esophagectomy for Esophageal Cancer.
BACKGROUND AND AIM
Anastomotic leakage, the most common major complication after esophagectomy, is an important early postoperative complication that results in reoperation, delayed discharge, and psychological and financial distress. The current study focused on gastric conduit blood flow and investigated the relationship between gastric conduit temperature and anastomotic leakage.


PATIENTS AND METHODS
Between July 2015 and December 2017, a total of 51 patients aged 38 to 84 years who underwent esophagectomy followed by esophagogastric anastomosis with gastric conduit reconstruction were enrolled. Thermography was then used to measure the temperature of the intact stomach and gastric conduit before anastomosis.


RESULTS
The temperature of the planned site of gastric conduit anastomosis was significantly inversely correlated with anastomotic leakage, with the receiver operator characteristic curve showing a cutoff point of 27.6°C for predicting anastomotic leakage.


CONCLUSION
The temperature of the planned gastric tube anastomosis line should be kept at 27.6°C or higher to reduce anastomotic leakage.
['Sohda|Makoto|M|', 'Miyazaki|Tatsuya|T|', 'Watanabe|Takayoshi|T|', 'Nakazawa|Nobuhiro|N|', 'Ubukata|Yasunari|Y|', 'Kuriyama|Kengo|K|', 'Hara|Keigo|K|', 'Sakai|Makoto|M|', 'Sano|Akihiko|A|', 'Yokobori|Takehiko|T|', 'Ogawa|Hiroomi|H|', 'Shirabe|Ken|K|', 'Saeki|Hiroshi|H|']
D000328:Adult D000368:Aged D000369:Aged, 80 and over D057868:Anastomotic Leak D001831:Body Temperature D004938:Esophageal Neoplasms D016629:Esophagectomy D005260:Female D006801:Humans D008297:Male D008875:Middle Aged D011183:Postoperative Complications D011379:Prognosis D019651:Reconstructive Surgical Procedures D012189:Retrospective Studies D013270:Stomach D013817:Thermography
thermography Gastric conduit anastomotic leakage