INTRALUMINAL PRESSURE ADJACENT TO LEFT COLONIC ANASTOMOSES

被引:17
作者
BURKITT, DS [1 ]
DONOVAN, IA [1 ]
机构
[1] DUDLEY RD GEN HOSP, DUDLEY RD, BIRMINGHAM B18 7QH, W MIDLANDS, ENGLAND
关键词
Anastomosis; manometry; pressure;
D O I
10.1002/bjs.1800771130
中图分类号
R61 [外科手术学];
学科分类号
摘要
A cumulative total of 89 h of pressure data was acquired from both sides of a left colonic anastomosis in 15 patients over a median period of 7 postoperative study days. Patients had a colonic ileus lasting 3–10 days and during this proximal and distal inactivity the intraluminal pressure remained within 6 mmHg of atmospheric pressure. After recovery of activity, pressures proximal to the anastomosis in excess of 10 mmHg occurred during less than 1 per cent of the recording time. Distal peak pressures were significantly elevated with respect to the proximal site (P<0.001). Two‐thirds of the distal pressures recorded were between 10 and 20 mmHg and 98per cent were less than 50 mmHg; the peak distal pressure was 90 mmHg. Four patients had distal repetitive tonic contractions creating a pressure difference across the anastomosis with a mean of 20 mmHg and a peak of 45 mmHg. Each contraction persisted for 15–20 min. Intraluminal pressures are unlikely to play a role in anastomotic dehiscence. Copyright © 1990 British Journal of Surgery Society Ltd.
引用
收藏
页码:1288 / 1290
页数:3
相关论文
共 15 条
[1]   EFFECT OF NEOSTIGMINE ON INTEGRITY OF ILEORECTAL ANASTOMOSES [J].
BELL, CMA ;
LEWIS, CB .
BRITISH MEDICAL JOURNAL, 1968, 3 (5618) :587-&
[2]  
CHAUDHARY N, 1961, GASTROENTEROLOGY, V40, P27
[3]  
Chlumsky V., 1899, BRUNS BEITR KLIN CHI, V25, P539
[4]  
CRONIN K, 1968, SURG GYNECOL OBSTETR, V126, P747
[5]  
DINOSO VP, 1983, GASTROENTEROLOGY, V85, P637
[6]  
FELLOWS NM, 1951, SURG FORUM, V2, P111
[7]   ANASTOMOTIC DEHISCENCE AFTER ANTERIOR RESECTION OF RECTUM AND SIGMOID [J].
GOLIGHER, JC ;
GRAHAM, NG ;
DEDOMBAL, FT .
BRITISH JOURNAL OF SURGERY, 1970, 57 (02) :109-&
[8]  
HERRMANN JB, 1964, SURG GYNECOL OBSTET, V119, P269
[9]   ETIOLOGY OF DISRUPTION OF INTESTINAL ANASTOMOSES [J].
IRVIN, TT ;
GOLIGHER, JC .
BRITISH JOURNAL OF SURGERY, 1973, 60 (06) :461-464
[10]   ONE LAYER OR 2 LAYER COLONIC ANASTOMOSES [J].
MCADAMS, AJ ;
MEIKLE, AG ;
TAYLOR, JO .
AMERICAN JOURNAL OF SURGERY, 1970, 120 (04) :546-&