[The change of extra vascular lung water volume in patients undergoing surgery for esophageal cancer]. 1991

A Watanabe
Department of Surgery, Sapporo Medical College, Japan.

In 27 operations on esophageal cancer, extra vascular lung water (EVLW) was used as pre- and postoperative parameter in the control of the respiratory function. The cases were divided into 2 groups. Group I consisted of 6 cases with pulmonary complications and group II, 21 cases without them. The changes of EVLW and the circulatory and respiratory parameters were compared between 2 groups. Preoperative EVLWs were 5.56 +/- 0.67 ml/kg in group I and 5.76 +/- 0.41 ml/kg in group II. The immediate postoperative EVLWs were 6.65 +/- 1.90 ml/kg in group I and 4.86 +/- 0.31 ml/kg in group II, but the difference was insignificant. Beyond the 12th hour of the postoperative period there was no significant difference in the EVLW levels of groups I and II. In group II the immediate postoperative EVLW was significantly less than the preoperative value. Only 2 cases had pulmonary edema. The immediate postoperative EVLWs of these patients were extremely elevated as compared with the preoperative value. Many reports said EVLW correlated with colloid osmotic pressure-pulmonary wedge pressure gradient or PaO2, but in our cases EVLW did not correlate with any parameter. From these results, it was assumed EVLW was the good parameter for early diagnosis and management of pulmonary complication after surgery for esophageal cancer.

UI MeSH Term Description Entries
D007201 Indicator Dilution Techniques Methods for assessing flow through a system by injection of a known quantity of an indicator, such as a dye, radionuclide, or chilled liquid, into the system and monitoring its concentration over time at a specific point in the system. (From Dorland, 28th ed) Dilution Techniques,Dilution Technics,Indicator Dilution Technics,Dilution Technic,Dilution Technic, Indicator,Dilution Technics, Indicator,Dilution Technique,Dilution Technique, Indicator,Dilution Techniques, Indicator,Indicator Dilution Technic,Indicator Dilution Technique,Technic, Dilution,Technic, Indicator Dilution,Technics, Dilution,Technics, Indicator Dilution,Technique, Dilution,Technique, Indicator Dilution,Techniques, Dilution,Techniques, Indicator Dilution
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D010313 Partial Pressure The pressure that would be exerted by one component of a mixture of gases if it were present alone in a container. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Partial Pressures,Pressure, Partial,Pressures, Partial
D011654 Pulmonary Edema Excessive accumulation of extravascular fluid in the lung, an indication of a serious underlying disease or disorder. Pulmonary edema prevents efficient PULMONARY GAS EXCHANGE in the PULMONARY ALVEOLI, and can be life-threatening. Wet Lung,Edema, Pulmonary,Edemas, Pulmonary,Pulmonary Edemas,Lung, Wet,Lungs, Wet,Wet Lungs
D004938 Esophageal Neoplasms Tumors or cancer of the ESOPHAGUS. Cancer of Esophagus,Esophageal Cancer,Cancer of the Esophagus,Esophagus Cancer,Esophagus Neoplasm,Neoplasms, Esophageal,Cancer, Esophageal,Cancer, Esophagus,Cancers, Esophageal,Cancers, Esophagus,Esophageal Cancers,Esophageal Neoplasm,Esophagus Cancers,Esophagus Neoplasms,Neoplasm, Esophageal,Neoplasm, Esophagus,Neoplasms, Esophagus
D004944 Esophagoplasty A plastic operation on the esophagus. (Dorland, 28th ed) Esophagoplasties
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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