Comparative Studies of Esophageal Reconstruction between Albert-Lembert Gastroplasty and Layer to Layer Gastroplasty by Laser-Dopple Flowmetry

Yoshifumi Ikeda, Masanori Niimi, Tomoo Shatari, Hiroshi Miyoshi^*, Yuuji Hanatani, Hiroshi Takami and Susumu Kodaira

First Department of Surgery, Teikyo University School of Medicine and Miyoshi Clinic^*

Tissue blood flow of the gastric tube was evaluated to compare two different gastroplasty methods, the Albert-Lembert method and the layer-to-layer method by Laser-Doppler flowmetry. There was no significant difference in tissue blood flow at each 1 cm site from the top of the gastric tube. Tissue blood flow of the layer-to-layer gastric tube (16.5 ml/min/100g) at the site of anastomosis after reconstruction was significantly better than that of the Albert-Lembert gastric tube (12.0 ml/min/100g). The length of the anastomotic site from the top of the layer-to-layer gastric tube (7.0 cm) was significantly longer than that of the Albert-Lembert gastric tube (3.7 cm). These results suggest that layer-to-layer gastroplasty is useful in preventing anastomotic leakage and an accetable reconstruction method.

Key words
esophageal reconstruction, gastroplasty, layer-to-layer method, Laser-Doppler flowmetry, tissue blood flow

Reprint requests
Yoshifumi Ikeda First Department of Surgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605 JAPAN

Accepted
September 22, 1999

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