caa a22 4500 475753755 CHVBK 20180406123532.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s005950050614 doi (NATIONALLICENCE)springer-10.1007/s005950050614 Pulmonary thromboembolism after surgery for esophageal cancer: Its features and prophylaxis [Elektronische Daten] [Kenji Tsutsumi, Harushi Udagawa, Yoshiaki Kajiyama, Yoshihiro Kinoshita, Masaki Ueno, Toyohide Nakamura, Masahiko Tsurumaru, Hiroshi Akiyama] We attempt to clarify the problems of pulmonary thromboembolism (PTE), which occurs less frequently in Japan than in the West, regarding its special perioperative management and prophylaxis for PTE after esophagectomy. We studied 26 patients with PTE following esophagectomy among 1023 patients with esophageal cancer between 1984 and 1997. The presence of embolism was confirmed by pulmonary perfusion scintigraphy. The incidence, diagnosis, and other issues of PTE were all reviewed. The incidence of PTE was 2.5%, with patients showing a biphasic early and late onset. The main symptoms were dyspnea in 19 patients and tachycardia in 17. Scintigraphy demonstrated 154 lesions, 35.7% of which were located in the left lower lobe and 25.3% in the right lower lobe. Treatment mainly consisted of the administration of heparin and urokinase. Four of the 26 patients died. Intermittent pneumatic compression (IPC) with the administration of heparin has been used in our department since 1994 to prevent PTE and this has also helped to decrease the incidence from 3.2% to 0.7%. Because the incidence of PTE following esophagectomy is higher than expected, PTE should be considered whenever hypoxemia of some unknown cause is found. Both early diagnosis and treatment are essential. It is also important to prevent PTE by the use of IPC. Springer-Verlag, 2000 pulmonary thromboembolism nationallicence esophageal cancer nationallicence postoperative complications nationallicence intermittent pneumatic compression nationallicence Tsutsumi Kenji Department of Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, 105-8470, Tokyo, Japan aut Udagawa Harushi Department of Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, 105-8470, Tokyo, Japan aut Kajiyama Yoshiaki First Department of Surgery, Juntendo University School of Medicine, Tokyo, Japan aut Kinoshita Yoshihiro Department of Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, 105-8470, Tokyo, Japan aut Ueno Masaki Department of Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, 105-8470, Tokyo, Japan aut Nakamura Toyohide Department of Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, 105-8470, Tokyo, Japan aut Tsurumaru Masahiko First Department of Surgery, Juntendo University School of Medicine, Tokyo, Japan aut Akiyama Hiroshi Department of Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, 105-8470, Tokyo, Japan aut Surgery Today Springer-Verlag 30/5(2000-05-01), 416-420 0941-1291 30:5<416 2000 30 595 https://doi.org/10.1007/s005950050614 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950050614 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tsutsumi Kenji Department of Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, 105-8470, Tokyo, Japan aut NATIONALLICENCE 700 1- Udagawa Harushi Department of Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, 105-8470, Tokyo, Japan aut NATIONALLICENCE 700 1- Kajiyama Yoshiaki First Department of Surgery, Juntendo University School of Medicine, Tokyo, Japan aut NATIONALLICENCE 700 1- Kinoshita Yoshihiro Department of Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, 105-8470, Tokyo, Japan aut NATIONALLICENCE 700 1- Ueno Masaki Department of Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, 105-8470, Tokyo, Japan aut NATIONALLICENCE 700 1- Nakamura Toyohide Department of Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, 105-8470, Tokyo, Japan aut NATIONALLICENCE 700 1- Tsurumaru Masahiko First Department of Surgery, Juntendo University School of Medicine, Tokyo, Japan aut NATIONALLICENCE 700 1- Akiyama Hiroshi Department of Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, 105-8470, Tokyo, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/5(2000-05-01), 416-420 0941-1291 30:5<416 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer