Endoscopy after esophagectomy: Safety demonstrated in a porcine model

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Endoscopy after esophagectomy: Safety demonstrated in a porcine model Vignesh Raman, MD, Karen L. Moodie, DVM, Obinna O. Ofoche, BS, Larry R. Kaiser, MD, FACS, Cherie P. Erkmen, MD The Journal of Thoracic and Cardiovascular Surgery Volume 154, Issue 3, Pages 1152-1158 (September 2017) DOI: 10.1016/j.jtcvs.2016.12.053 Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Photographs demonstrating (A) the position of endoscope and pressure probe near the gastroesophageal anastomosis and (B) the anastomosis visualized by the endoscope. The Journal of Thoracic and Cardiovascular Surgery 2017 154, 1152-1158DOI: (10.1016/j.jtcvs.2016.12.053) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A and B, Flowcharts illustrating the order of experiments and measurements with corresponding table and figure numbers. The Journal of Thoracic and Cardiovascular Surgery 2017 154, 1152-1158DOI: (10.1016/j.jtcvs.2016.12.053) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Photographs showing (A) maximally distended stomach conduit with endoscopic air insufflation and (B) box-and-whisker plot demonstrating the maximum intraluminal pressure achieved with progressive insufflation. The Journal of Thoracic and Cardiovascular Surgery 2017 154, 1152-1158DOI: (10.1016/j.jtcvs.2016.12.053) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Box-and-whisker plots demonstrating (A) oxyhemoglobin saturation at 4 different regions in the stomach with endoscopy before esophagectomy, (B) oxyhemoglobin saturation at 4 different regions in the stomach with endoscopy after esophagectomy, (C) right gastroepiploic arterial flow with endoscopy before esophagectomy, and (D) right gastroepiploic arterial flow with endoscopy after esophagectomy. The Journal of Thoracic and Cardiovascular Surgery 2017 154, 1152-1158DOI: (10.1016/j.jtcvs.2016.12.053) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Endoscopy after esophagectomy exerts minimal intraluminal pressure in conduit. The Journal of Thoracic and Cardiovascular Surgery 2017 154, 1152-1158DOI: (10.1016/j.jtcvs.2016.12.053) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions