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Gastric intramucosal pH as a monitor of gut perfusion after thrombosis of the superior mesenteric vein.
Ruettimann, U; Urwyler, A; Von Flue, M; Reinhardt, D; Pargger, H.
Affiliation
  • Ruettimann U; Department of Anesthesia, University of Basel Kantonsspital, Switzerland.
Acta Anaesthesiol Scand ; 43(7): 780-3, 1999 Aug.
Article de En | MEDLINE | ID: mdl-10456821
ABSTRACT
Gastric intramucosal pH (pHi) when measured by a tonometer is a simple and minimally invasive method to determine gut ischemia. In a case of severe mesenteric venous thrombosis, we measured pHi intra- and postoperatively over a period of five days. The goal was to monitor improvement or deterioration of gastrointestinal perfusion in the intensive care unit and to perform a second-look laparotomy if the condition worsened. We observed that gastric pHi is a more sensitive parameter for detecting intestinal ischemia than parameters such as arterial pH, base excess, or lactate. This patient's pHi rose continuously, which allowed us to proceed in a conservative way without any further invasive diagnostic interventions. Thus, the application of a gastric tonometer in cases of mesenteric venous thrombosis may help to reduce costs by preventing unnecessary postoperative diagnostic maneuvers such as angiography, computed tomography, or even second-look laparotomy.
Sujet(s)
Recherche sur Google
Collection: 01-internacional Base de données: MEDLINE Sujet principal: Thrombose veineuse / Muqueuse gastrique / Intestin grêle / Ischémie / Occlusion vasculaire mésentérique / Veines mésentériques Type d'étude: Observational_studies / Prognostic_studies Limites: Adult / Humans / Male Langue: En Journal: Acta Anaesthesiol Scand Année: 1999 Type de document: Article Pays d'affiliation: Suisse
Recherche sur Google
Collection: 01-internacional Base de données: MEDLINE Sujet principal: Thrombose veineuse / Muqueuse gastrique / Intestin grêle / Ischémie / Occlusion vasculaire mésentérique / Veines mésentériques Type d'étude: Observational_studies / Prognostic_studies Limites: Adult / Humans / Male Langue: En Journal: Acta Anaesthesiol Scand Année: 1999 Type de document: Article Pays d'affiliation: Suisse