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Article: Limitations and dangers of Gastrografin swallow after esophageal and upper gastric operations

TitleLimitations and dangers of Gastrografin swallow after esophageal and upper gastric operations
Authors
Issue Date1988
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg
Citation
American Journal Of Surgery, 1988, v. 155 n. 3, p. 495-497 How to Cite?
AbstractIn a series of 135 patients who underwent esophageal and upper stomach surgery, the incidence of anastomotic leakage was 20.4%. One hundred four patients had either Gastrografin swallow or the methylene blue test to evaluate anastomotic integrity before resumption of oral feeding. Both tests were disappointing in that methylene blue failed to detect any case of leakage and Gastrografin swallow could only detect three cases of subclinical leakage. The high false-negative detection rate of Gastrografin swallow might be related to the inferior radiographic detail provided by this contrast medium. Aspiration of Gastrografin is potentially dangerous and could be fatal. We believe that barium sulfate, which provides better radiographic detail and is not so hazardous when aspirated, should be the contrast medium of choice.
Persistent Identifierhttp://hdl.handle.net/10722/172580
ISSN
2015 Impact Factor: 2.403
2015 SCImago Journal Rankings: 1.286
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorFan, STen_US
dc.contributor.authorLau, WYen_US
dc.contributor.authorYip, WCen_US
dc.contributor.authorPoon, GPen_US
dc.contributor.authorYeung, Cen_US
dc.contributor.authorWong, KKen_US
dc.date.accessioned2012-10-30T06:23:31Z-
dc.date.available2012-10-30T06:23:31Z-
dc.date.issued1988en_US
dc.identifier.citationAmerican Journal Of Surgery, 1988, v. 155 n. 3, p. 495-497en_US
dc.identifier.issn0002-9610en_US
dc.identifier.urihttp://hdl.handle.net/10722/172580-
dc.description.abstractIn a series of 135 patients who underwent esophageal and upper stomach surgery, the incidence of anastomotic leakage was 20.4%. One hundred four patients had either Gastrografin swallow or the methylene blue test to evaluate anastomotic integrity before resumption of oral feeding. Both tests were disappointing in that methylene blue failed to detect any case of leakage and Gastrografin swallow could only detect three cases of subclinical leakage. The high false-negative detection rate of Gastrografin swallow might be related to the inferior radiographic detail provided by this contrast medium. Aspiration of Gastrografin is potentially dangerous and could be fatal. We believe that barium sulfate, which provides better radiographic detail and is not so hazardous when aspirated, should be the contrast medium of choice.en_US
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurgen_US
dc.relation.ispartofAmerican Journal of Surgeryen_US
dc.subject.meshAnastomosis, Surgical - Adverse Effectsen_US
dc.subject.meshColon - Surgeryen_US
dc.subject.meshDiatrizoate Meglumine - Adverse Effectsen_US
dc.subject.meshEsophagus - Surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshJejunum - Surgeryen_US
dc.subject.meshStomach - Surgeryen_US
dc.subject.meshSurgical Wound Dehiscence - Etiology - Radiographyen_US
dc.titleLimitations and dangers of Gastrografin swallow after esophageal and upper gastric operationsen_US
dc.typeArticleen_US
dc.identifier.emailFan, ST: stfan@hku.hken_US
dc.identifier.authorityFan, ST=rp00355en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S0002-9610(88)80121-1-
dc.identifier.pmid3344917-
dc.identifier.scopuseid_2-s2.0-0023838398en_US
dc.identifier.volume155en_US
dc.identifier.issue3en_US
dc.identifier.spage495en_US
dc.identifier.epage497en_US
dc.identifier.isiWOS:A1988P268400031-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridFan, ST=7402678224en_US
dc.identifier.scopusauthoridLau, WY=7402933199en_US
dc.identifier.scopusauthoridYip, WC=7102784410en_US
dc.identifier.scopusauthoridPoon, GP=7005841014en_US
dc.identifier.scopusauthoridYeung, C=25950985200en_US
dc.identifier.scopusauthoridWong, KK=7404759210en_US

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