Gastric intramucosal pH as a monitor of gut perfusion after thrombosis of the superior mesenteric vein.
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.
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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