Gastrointestinal Surgery
Microdialysis for early detection of complications
Gastrointestinal surgery is associated with a high risk of post-operative complications such as anastomosis leakages and sepsis. Intraperitoneal Microdialysis is a new technique for early detection of complications following surgery.
The intraperitoneal ratio of lactate and pyruvate is a marker of anaerobic metabolism.
Symptomatic anastomotic leakage is the most serious complication after anterior resection of the rectum. The intraperitoneal ratio of lactate and pyruvate is a marker of anaerobic metabolism.
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Quote from the literature
“Intestinal ischemia may be detected by placing a Microdialysis catheter in the intraperitoneal cavity. Clinical signs of peritonitis, bowel ischemia, and anastomosis leakage are preceded by chemical changes, for example an increasing LP-ratio, which serves as an early marker of splanchnic ischemia.”
(Jansson K et al. Scand J Gastroenterol. 2003;38:1007–1011).
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