Indocyanine Green Near Infrared Fluorescence Imaging for Colonic Conduit Perfusion Assessment in Colon Pull-up for Corrosive Oesophageal Strictures
Abstract Subjective visual assessment (SVA) of colour, pulsations and bleeding from cut edges is unreliable in predicting conduit perfusion during colon pull-up surgery for corrosive oesophageal strictures. This prospective study evaluated whether Indocyanine green fluorescence imaging (ICG-FI) had...
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Gespeichert in:
| Autor*in: |
Kumar, Sure Pavan [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2022 |
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| Schlagwörter: |
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| Anmerkung: |
© Association of Surgeons of India 2022 |
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| Übergeordnetes Werk: |
Enthalten in: Indian Journal of Surgery - Springer-Verlag, 2007, 84(2022), 6 vom: 07. Feb., Seite 1269-1275 |
|---|---|
| Übergeordnetes Werk: |
volume:84 ; year:2022 ; number:6 ; day:07 ; month:02 ; pages:1269-1275 |
| Links: |
|---|
| DOI / URN: |
10.1007/s12262-022-03317-3 |
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| Katalog-ID: |
SPR048931136 |
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| 520 | |a Abstract Subjective visual assessment (SVA) of colour, pulsations and bleeding from cut edges is unreliable in predicting conduit perfusion during colon pull-up surgery for corrosive oesophageal strictures. This prospective study evaluated whether Indocyanine green fluorescence imaging (ICG-FI) had any additive role to routine subjective visual assessment of conduit perfusion. A total of 20 consecutive patients who underwent colonic transposition for corrosive oesophageal strictures from September 2017 to July 2019 were included. Nineteen patients underwent a right colon pull-up and 1 patient underwent a left colon pull-up. Proximal pharyngeal and oesophageal anastomosis was done in 14 and 6 patients, respectively. SVA along with ICG-FI was done for assessment of conduit perfusion after transection of ileum, after transposition of colon to neck and after completion of the neck anastomosis. If needed, change in operative strategy was done based on the SVA of conduit. Anastamotic leak rate was 20% (n = 4, grade I leak = 2, grade II leak = 2). SVA detected hypoperfusion in 2 patients (grade I leak = 1, grade II leak = 1) requiring a left colon pull-up instead of right colon and a conduit revision in these patients which was confirmed by ICG-FI. ICG-FI detected hypoperfusion in an additional patient. A single patient with a grade I leak had normal perfusion both on SVA and ICG-FI. ICG-FI detected hypoperfusion in 75% compared to 50% by SVA in patients who subsequently developed an anastamotic leak. In conclusion, ICG-FI can augment subjective visual assessment of conduit perfusion by picking up subtle hypoperfusion defects. | ||
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10.1007/s12262-022-03317-3 doi (DE-627)SPR048931136 (SPR)s12262-022-03317-3-e DE-627 ger DE-627 rakwb eng Kumar, Sure Pavan verfasserin aut Indocyanine Green Near Infrared Fluorescence Imaging for Colonic Conduit Perfusion Assessment in Colon Pull-up for Corrosive Oesophageal Strictures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2022 Abstract Subjective visual assessment (SVA) of colour, pulsations and bleeding from cut edges is unreliable in predicting conduit perfusion during colon pull-up surgery for corrosive oesophageal strictures. This prospective study evaluated whether Indocyanine green fluorescence imaging (ICG-FI) had any additive role to routine subjective visual assessment of conduit perfusion. A total of 20 consecutive patients who underwent colonic transposition for corrosive oesophageal strictures from September 2017 to July 2019 were included. Nineteen patients underwent a right colon pull-up and 1 patient underwent a left colon pull-up. Proximal pharyngeal and oesophageal anastomosis was done in 14 and 6 patients, respectively. SVA along with ICG-FI was done for assessment of conduit perfusion after transection of ileum, after transposition of colon to neck and after completion of the neck anastomosis. If needed, change in operative strategy was done based on the SVA of conduit. Anastamotic leak rate was 20% (n = 4, grade I leak = 2, grade II leak = 2). SVA detected hypoperfusion in 2 patients (grade I leak = 1, grade II leak = 1) requiring a left colon pull-up instead of right colon and a conduit revision in these patients which was confirmed by ICG-FI. ICG-FI detected hypoperfusion in an additional patient. A single patient with a grade I leak had normal perfusion both on SVA and ICG-FI. ICG-FI detected hypoperfusion in 75% compared to 50% by SVA in patients who subsequently developed an anastamotic leak. In conclusion, ICG-FI can augment subjective visual assessment of conduit perfusion by picking up subtle hypoperfusion defects. Indocyanine green (dpeaa)DE-He213 Corrosive oesophageal stricture (dpeaa)DE-He213 Colon pull-up (dpeaa)DE-He213 Perfusion assessment (dpeaa)DE-He213 Ahmed, Zeeshan aut M, Ranjith Rao aut Shetty, Mahesh G. aut Rao, Guduru Venkat aut Subramanyeshwar Rao, T aut Rebala, Pradeep aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 84(2022), 6 vom: 07. Feb., Seite 1269-1275 (DE-627)SPR024596493 nnns volume:84 year:2022 number:6 day:07 month:02 pages:1269-1275 https://dx.doi.org/10.1007/s12262-022-03317-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 84 2022 6 07 02 1269-1275 |
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10.1007/s12262-022-03317-3 doi (DE-627)SPR048931136 (SPR)s12262-022-03317-3-e DE-627 ger DE-627 rakwb eng Kumar, Sure Pavan verfasserin aut Indocyanine Green Near Infrared Fluorescence Imaging for Colonic Conduit Perfusion Assessment in Colon Pull-up for Corrosive Oesophageal Strictures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2022 Abstract Subjective visual assessment (SVA) of colour, pulsations and bleeding from cut edges is unreliable in predicting conduit perfusion during colon pull-up surgery for corrosive oesophageal strictures. This prospective study evaluated whether Indocyanine green fluorescence imaging (ICG-FI) had any additive role to routine subjective visual assessment of conduit perfusion. A total of 20 consecutive patients who underwent colonic transposition for corrosive oesophageal strictures from September 2017 to July 2019 were included. Nineteen patients underwent a right colon pull-up and 1 patient underwent a left colon pull-up. Proximal pharyngeal and oesophageal anastomosis was done in 14 and 6 patients, respectively. SVA along with ICG-FI was done for assessment of conduit perfusion after transection of ileum, after transposition of colon to neck and after completion of the neck anastomosis. If needed, change in operative strategy was done based on the SVA of conduit. Anastamotic leak rate was 20% (n = 4, grade I leak = 2, grade II leak = 2). SVA detected hypoperfusion in 2 patients (grade I leak = 1, grade II leak = 1) requiring a left colon pull-up instead of right colon and a conduit revision in these patients which was confirmed by ICG-FI. ICG-FI detected hypoperfusion in an additional patient. A single patient with a grade I leak had normal perfusion both on SVA and ICG-FI. ICG-FI detected hypoperfusion in 75% compared to 50% by SVA in patients who subsequently developed an anastamotic leak. In conclusion, ICG-FI can augment subjective visual assessment of conduit perfusion by picking up subtle hypoperfusion defects. Indocyanine green (dpeaa)DE-He213 Corrosive oesophageal stricture (dpeaa)DE-He213 Colon pull-up (dpeaa)DE-He213 Perfusion assessment (dpeaa)DE-He213 Ahmed, Zeeshan aut M, Ranjith Rao aut Shetty, Mahesh G. aut Rao, Guduru Venkat aut Subramanyeshwar Rao, T aut Rebala, Pradeep aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 84(2022), 6 vom: 07. Feb., Seite 1269-1275 (DE-627)SPR024596493 nnns volume:84 year:2022 number:6 day:07 month:02 pages:1269-1275 https://dx.doi.org/10.1007/s12262-022-03317-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 84 2022 6 07 02 1269-1275 |
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10.1007/s12262-022-03317-3 doi (DE-627)SPR048931136 (SPR)s12262-022-03317-3-e DE-627 ger DE-627 rakwb eng Kumar, Sure Pavan verfasserin aut Indocyanine Green Near Infrared Fluorescence Imaging for Colonic Conduit Perfusion Assessment in Colon Pull-up for Corrosive Oesophageal Strictures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2022 Abstract Subjective visual assessment (SVA) of colour, pulsations and bleeding from cut edges is unreliable in predicting conduit perfusion during colon pull-up surgery for corrosive oesophageal strictures. This prospective study evaluated whether Indocyanine green fluorescence imaging (ICG-FI) had any additive role to routine subjective visual assessment of conduit perfusion. A total of 20 consecutive patients who underwent colonic transposition for corrosive oesophageal strictures from September 2017 to July 2019 were included. Nineteen patients underwent a right colon pull-up and 1 patient underwent a left colon pull-up. Proximal pharyngeal and oesophageal anastomosis was done in 14 and 6 patients, respectively. SVA along with ICG-FI was done for assessment of conduit perfusion after transection of ileum, after transposition of colon to neck and after completion of the neck anastomosis. If needed, change in operative strategy was done based on the SVA of conduit. Anastamotic leak rate was 20% (n = 4, grade I leak = 2, grade II leak = 2). SVA detected hypoperfusion in 2 patients (grade I leak = 1, grade II leak = 1) requiring a left colon pull-up instead of right colon and a conduit revision in these patients which was confirmed by ICG-FI. ICG-FI detected hypoperfusion in an additional patient. A single patient with a grade I leak had normal perfusion both on SVA and ICG-FI. ICG-FI detected hypoperfusion in 75% compared to 50% by SVA in patients who subsequently developed an anastamotic leak. In conclusion, ICG-FI can augment subjective visual assessment of conduit perfusion by picking up subtle hypoperfusion defects. Indocyanine green (dpeaa)DE-He213 Corrosive oesophageal stricture (dpeaa)DE-He213 Colon pull-up (dpeaa)DE-He213 Perfusion assessment (dpeaa)DE-He213 Ahmed, Zeeshan aut M, Ranjith Rao aut Shetty, Mahesh G. aut Rao, Guduru Venkat aut Subramanyeshwar Rao, T aut Rebala, Pradeep aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 84(2022), 6 vom: 07. Feb., Seite 1269-1275 (DE-627)SPR024596493 nnns volume:84 year:2022 number:6 day:07 month:02 pages:1269-1275 https://dx.doi.org/10.1007/s12262-022-03317-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 84 2022 6 07 02 1269-1275 |
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10.1007/s12262-022-03317-3 doi (DE-627)SPR048931136 (SPR)s12262-022-03317-3-e DE-627 ger DE-627 rakwb eng Kumar, Sure Pavan verfasserin aut Indocyanine Green Near Infrared Fluorescence Imaging for Colonic Conduit Perfusion Assessment in Colon Pull-up for Corrosive Oesophageal Strictures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2022 Abstract Subjective visual assessment (SVA) of colour, pulsations and bleeding from cut edges is unreliable in predicting conduit perfusion during colon pull-up surgery for corrosive oesophageal strictures. This prospective study evaluated whether Indocyanine green fluorescence imaging (ICG-FI) had any additive role to routine subjective visual assessment of conduit perfusion. A total of 20 consecutive patients who underwent colonic transposition for corrosive oesophageal strictures from September 2017 to July 2019 were included. Nineteen patients underwent a right colon pull-up and 1 patient underwent a left colon pull-up. Proximal pharyngeal and oesophageal anastomosis was done in 14 and 6 patients, respectively. SVA along with ICG-FI was done for assessment of conduit perfusion after transection of ileum, after transposition of colon to neck and after completion of the neck anastomosis. If needed, change in operative strategy was done based on the SVA of conduit. Anastamotic leak rate was 20% (n = 4, grade I leak = 2, grade II leak = 2). SVA detected hypoperfusion in 2 patients (grade I leak = 1, grade II leak = 1) requiring a left colon pull-up instead of right colon and a conduit revision in these patients which was confirmed by ICG-FI. ICG-FI detected hypoperfusion in an additional patient. A single patient with a grade I leak had normal perfusion both on SVA and ICG-FI. ICG-FI detected hypoperfusion in 75% compared to 50% by SVA in patients who subsequently developed an anastamotic leak. In conclusion, ICG-FI can augment subjective visual assessment of conduit perfusion by picking up subtle hypoperfusion defects. Indocyanine green (dpeaa)DE-He213 Corrosive oesophageal stricture (dpeaa)DE-He213 Colon pull-up (dpeaa)DE-He213 Perfusion assessment (dpeaa)DE-He213 Ahmed, Zeeshan aut M, Ranjith Rao aut Shetty, Mahesh G. aut Rao, Guduru Venkat aut Subramanyeshwar Rao, T aut Rebala, Pradeep aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 84(2022), 6 vom: 07. Feb., Seite 1269-1275 (DE-627)SPR024596493 nnns volume:84 year:2022 number:6 day:07 month:02 pages:1269-1275 https://dx.doi.org/10.1007/s12262-022-03317-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 84 2022 6 07 02 1269-1275 |
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10.1007/s12262-022-03317-3 doi (DE-627)SPR048931136 (SPR)s12262-022-03317-3-e DE-627 ger DE-627 rakwb eng Kumar, Sure Pavan verfasserin aut Indocyanine Green Near Infrared Fluorescence Imaging for Colonic Conduit Perfusion Assessment in Colon Pull-up for Corrosive Oesophageal Strictures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2022 Abstract Subjective visual assessment (SVA) of colour, pulsations and bleeding from cut edges is unreliable in predicting conduit perfusion during colon pull-up surgery for corrosive oesophageal strictures. This prospective study evaluated whether Indocyanine green fluorescence imaging (ICG-FI) had any additive role to routine subjective visual assessment of conduit perfusion. A total of 20 consecutive patients who underwent colonic transposition for corrosive oesophageal strictures from September 2017 to July 2019 were included. Nineteen patients underwent a right colon pull-up and 1 patient underwent a left colon pull-up. Proximal pharyngeal and oesophageal anastomosis was done in 14 and 6 patients, respectively. SVA along with ICG-FI was done for assessment of conduit perfusion after transection of ileum, after transposition of colon to neck and after completion of the neck anastomosis. If needed, change in operative strategy was done based on the SVA of conduit. Anastamotic leak rate was 20% (n = 4, grade I leak = 2, grade II leak = 2). SVA detected hypoperfusion in 2 patients (grade I leak = 1, grade II leak = 1) requiring a left colon pull-up instead of right colon and a conduit revision in these patients which was confirmed by ICG-FI. ICG-FI detected hypoperfusion in an additional patient. A single patient with a grade I leak had normal perfusion both on SVA and ICG-FI. ICG-FI detected hypoperfusion in 75% compared to 50% by SVA in patients who subsequently developed an anastamotic leak. In conclusion, ICG-FI can augment subjective visual assessment of conduit perfusion by picking up subtle hypoperfusion defects. Indocyanine green (dpeaa)DE-He213 Corrosive oesophageal stricture (dpeaa)DE-He213 Colon pull-up (dpeaa)DE-He213 Perfusion assessment (dpeaa)DE-He213 Ahmed, Zeeshan aut M, Ranjith Rao aut Shetty, Mahesh G. aut Rao, Guduru Venkat aut Subramanyeshwar Rao, T aut Rebala, Pradeep aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 84(2022), 6 vom: 07. Feb., Seite 1269-1275 (DE-627)SPR024596493 nnns volume:84 year:2022 number:6 day:07 month:02 pages:1269-1275 https://dx.doi.org/10.1007/s12262-022-03317-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 84 2022 6 07 02 1269-1275 |
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Indocyanine Green Near Infrared Fluorescence Imaging for Colonic Conduit Perfusion Assessment in Colon Pull-up for Corrosive Oesophageal Strictures Indocyanine green (dpeaa)DE-He213 Corrosive oesophageal stricture (dpeaa)DE-He213 Colon pull-up (dpeaa)DE-He213 Perfusion assessment (dpeaa)DE-He213 |
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Indocyanine Green Near Infrared Fluorescence Imaging for Colonic Conduit Perfusion Assessment in Colon Pull-up for Corrosive Oesophageal Strictures |
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Indocyanine Green Near Infrared Fluorescence Imaging for Colonic Conduit Perfusion Assessment in Colon Pull-up for Corrosive Oesophageal Strictures |
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Kumar, Sure Pavan |
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Kumar, Sure Pavan Ahmed, Zeeshan M, Ranjith Rao Shetty, Mahesh G. Rao, Guduru Venkat Subramanyeshwar Rao, T Rebala, Pradeep |
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10.1007/s12262-022-03317-3 |
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indocyanine green near infrared fluorescence imaging for colonic conduit perfusion assessment in colon pull-up for corrosive oesophageal strictures |
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Indocyanine Green Near Infrared Fluorescence Imaging for Colonic Conduit Perfusion Assessment in Colon Pull-up for Corrosive Oesophageal Strictures |
| abstract |
Abstract Subjective visual assessment (SVA) of colour, pulsations and bleeding from cut edges is unreliable in predicting conduit perfusion during colon pull-up surgery for corrosive oesophageal strictures. This prospective study evaluated whether Indocyanine green fluorescence imaging (ICG-FI) had any additive role to routine subjective visual assessment of conduit perfusion. A total of 20 consecutive patients who underwent colonic transposition for corrosive oesophageal strictures from September 2017 to July 2019 were included. Nineteen patients underwent a right colon pull-up and 1 patient underwent a left colon pull-up. Proximal pharyngeal and oesophageal anastomosis was done in 14 and 6 patients, respectively. SVA along with ICG-FI was done for assessment of conduit perfusion after transection of ileum, after transposition of colon to neck and after completion of the neck anastomosis. If needed, change in operative strategy was done based on the SVA of conduit. Anastamotic leak rate was 20% (n = 4, grade I leak = 2, grade II leak = 2). SVA detected hypoperfusion in 2 patients (grade I leak = 1, grade II leak = 1) requiring a left colon pull-up instead of right colon and a conduit revision in these patients which was confirmed by ICG-FI. ICG-FI detected hypoperfusion in an additional patient. A single patient with a grade I leak had normal perfusion both on SVA and ICG-FI. ICG-FI detected hypoperfusion in 75% compared to 50% by SVA in patients who subsequently developed an anastamotic leak. In conclusion, ICG-FI can augment subjective visual assessment of conduit perfusion by picking up subtle hypoperfusion defects. © Association of Surgeons of India 2022 |
| abstractGer |
Abstract Subjective visual assessment (SVA) of colour, pulsations and bleeding from cut edges is unreliable in predicting conduit perfusion during colon pull-up surgery for corrosive oesophageal strictures. This prospective study evaluated whether Indocyanine green fluorescence imaging (ICG-FI) had any additive role to routine subjective visual assessment of conduit perfusion. A total of 20 consecutive patients who underwent colonic transposition for corrosive oesophageal strictures from September 2017 to July 2019 were included. Nineteen patients underwent a right colon pull-up and 1 patient underwent a left colon pull-up. Proximal pharyngeal and oesophageal anastomosis was done in 14 and 6 patients, respectively. SVA along with ICG-FI was done for assessment of conduit perfusion after transection of ileum, after transposition of colon to neck and after completion of the neck anastomosis. If needed, change in operative strategy was done based on the SVA of conduit. Anastamotic leak rate was 20% (n = 4, grade I leak = 2, grade II leak = 2). SVA detected hypoperfusion in 2 patients (grade I leak = 1, grade II leak = 1) requiring a left colon pull-up instead of right colon and a conduit revision in these patients which was confirmed by ICG-FI. ICG-FI detected hypoperfusion in an additional patient. A single patient with a grade I leak had normal perfusion both on SVA and ICG-FI. ICG-FI detected hypoperfusion in 75% compared to 50% by SVA in patients who subsequently developed an anastamotic leak. In conclusion, ICG-FI can augment subjective visual assessment of conduit perfusion by picking up subtle hypoperfusion defects. © Association of Surgeons of India 2022 |
| abstract_unstemmed |
Abstract Subjective visual assessment (SVA) of colour, pulsations and bleeding from cut edges is unreliable in predicting conduit perfusion during colon pull-up surgery for corrosive oesophageal strictures. This prospective study evaluated whether Indocyanine green fluorescence imaging (ICG-FI) had any additive role to routine subjective visual assessment of conduit perfusion. A total of 20 consecutive patients who underwent colonic transposition for corrosive oesophageal strictures from September 2017 to July 2019 were included. Nineteen patients underwent a right colon pull-up and 1 patient underwent a left colon pull-up. Proximal pharyngeal and oesophageal anastomosis was done in 14 and 6 patients, respectively. SVA along with ICG-FI was done for assessment of conduit perfusion after transection of ileum, after transposition of colon to neck and after completion of the neck anastomosis. If needed, change in operative strategy was done based on the SVA of conduit. Anastamotic leak rate was 20% (n = 4, grade I leak = 2, grade II leak = 2). SVA detected hypoperfusion in 2 patients (grade I leak = 1, grade II leak = 1) requiring a left colon pull-up instead of right colon and a conduit revision in these patients which was confirmed by ICG-FI. ICG-FI detected hypoperfusion in an additional patient. A single patient with a grade I leak had normal perfusion both on SVA and ICG-FI. ICG-FI detected hypoperfusion in 75% compared to 50% by SVA in patients who subsequently developed an anastamotic leak. In conclusion, ICG-FI can augment subjective visual assessment of conduit perfusion by picking up subtle hypoperfusion defects. © Association of Surgeons of India 2022 |
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Indocyanine Green Near Infrared Fluorescence Imaging for Colonic Conduit Perfusion Assessment in Colon Pull-up for Corrosive Oesophageal Strictures |
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Ahmed, Zeeshan M, Ranjith Rao Shetty, Mahesh G. Rao, Guduru Venkat Subramanyeshwar Rao, T Rebala, Pradeep |
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