Preoperative gastric conditioning in cervical gastroplasty.

摘要: SUMMARY To determine if ischemic conditioning of the stomach improves morbidity, mortality, and anastomotic failure in gastroplasties with cervical anastomosis. Analysis all patients indication for gastroplasty during period study. In cases, was performed by selective embolization. Anastomotic failure, mortality rates were studied. Thirty-nine consecutive included. Angiography embolization left gastric, right splenic arteries performed. Surgery 2 weeks later. Four did not have a complete embolization; median hospital stay after 1.24 ± 0.6 days. two patients, surgery could be completed. Of 33 remaining, 29 had posterior mediastinic four through anterior mediastinum. The most common morbidity respiratory. Five reoperation 6%. One case leak found (3%). mean 17.5 Preoperative is technique acceptable short stay. our experience it can reduce incidence Prospective studies will necessary to demonstrate validity this approach.