Operations that require supracoeliac aortic cross-clamping: Perioperative monitoring with gastric tonometry

Robert H. Geelkerken*, Johannus H.M.J. Zwijsen, Jarie M. Van Baalen, Hubertus I.J. Harinck, Walter H. Hoffmann, J. Hajo Van Bockel

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Scopus)

Abstract

Objective: To assess the predictive value of a gastric intramucosal pH of less than 7.35 for mortality in surgical patients after supracoeliac aortic cross-clamping. Design: Open prospective clinical study. Setting: University hospital, The Netherlands. Subjects: Six patients who required temporary supracoeliac, and four patients who required temporary infrarenal, cross-clamping of the aorta. Main outcome measures: Mortality and conventional measures of organ dysfunction correlated with gastric tonometry. Results: All 6 patients who required supracoeliac cross-clamping underwent a steep, and 5 patients a prolonged, decrease in the gastric intramucosal pH. The mean lowest gastric intramucosal pH in the supracoeliac group was 7.05 and in the infrarenal group 7.28. All patients recovered completely. Conclusion: A pHig value below 7.35 does not seem to be a marker of mortality in patients who have undergone supracoeliac cross-clamping of the aorta.

Original languageEnglish
Pages (from-to)15-20
Number of pages6
JournalEuropean Journal of Surgery
Volume165
Issue number1
DOIs
Publication statusPublished - 20 Aug 1999
Externally publishedYes

Keywords

  • Gastric tonometry
  • Organ dysfunction
  • Splanchnic arteries
  • Supracoeliac aortic cross-clamping

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