[The correlation between plasma atrial natriuretic polypeptide levels (ANP) and cardio-pulmonary function during the perioperative period of esophageal cancer]

[The correlation between plasma atrial natriuretic polypeptide levels (ANP) and cardio-pulmonary function during the perioperative period of esophageal cancer] Research Abstract Details 

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[The correlation between plasma atrial natriuretic polypeptide levels (ANP) and cardio-pulmonary function during the perioperative period of esophageal cancer] Abstract Text:

Y Kojima,Y Hiramatsu,H Kitade,T Ogura,A Nakagawa,T Sanada,H Yamanaka,Y Kawaguchi,K Hioki,M Yamamoto,

The present study examined the influence of subtotal esophagectomy through r-thoracal and abdominal approach on plasma atrial natriuretic polypeptide (ANP) and postoperative cardiopulmonary function using the Swan-Ganz Catheter in patients with thoracic esophageal cancer. The cardiac output (CO), left ventricular stroke work index (LVSWI), pulmonary vascular resistance (PVR), systemic vascular resistance (SVR), and plasma atrial natriuretic polypeptide levels (ANP) were measured during the perioperative period till the 3rd day. Subjects were divided into 2 groups by preoperative PVR values, those over 100 dynes.sec.cm-5 (PVR group), and those less than 100 dynes.sec.cm-5 (N group). Significant correlations were observed between ANP and CO (r = -0.63, P = 0.028), PVR (r = 0.66, P = 0.018), LVSWI (r = -0.71, P = 0.0009) and SVR (r = 0.71, P = 0.009) at 3 hours after operation. And the correlations between ANP and CO (r = 0.54, P = 0.049), PVR (r = -0.69, P = 0.019) and LVSWI (r = 0.65, P = 0.031) were observed on the 2nd POD. Moreover, the patients indicating high PVR values preoperatively showed significantly higher PVR values than those seen in the N group during the postoperative days. Postoperative complications were significantly seen in the PVR group. Primary water and sodium balance tended to be the higher accumulation in the PVR group than those of the N group, and the cardiovascular parameters in the PVR group revealed hypodynamic characteristics in the early period after the operation. With these results, it is suggested that perioperative fluid therapy and respiratory management should be performed more strictly in the PVR group.

[The correlation between plasma atrial natriuretic polypeptide levels (ANP) and cardio-pulmonary function during the perioperative period of esophageal cancer] Publishing Authors By Initials

Y Kojima,Y Hiramatsu,H Kitade,T Ogura,A Nakagawa,T Sanada,H Yamanaka,Y Kawaguchi,K Hioki,M Yamamoto,

For similar surgical procedures, operative: postoperative period research abstracts see: surgical procedures, operative: postoperative period research

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[The correlation between plasma atrial natriuretic polypeptide levels (ANP) and cardio-pulmonary function during the perioperative period of esophageal cancer] Journal Published:

PUBLICATION TYPE: Journal Article

Journal: [Zasshi] [Journal]. Nihon Ky?bu Geka Gakkai

VOLUME: 38

Page Numbers: 1416-23

Journal Abbreviation:

ISSN: 0369-4739

DAY: 14

MONTH: Sep

YEAR: 1990

[The correlation between plasma atrial natriuretic polypeptide levels (ANP) and cardio-pulmonary function during the perioperative period of esophageal cancer] Information

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LANGUAGE: jpn

NlmUniqueID: 19130180

[The correlation between plasma atrial natriuretic polypeptide levels (ANP) and cardio-pulmonary function during the perioperative period of esophageal cancer] Keywords Mesh Terms:

KEYWORDS: Postoperative Period

MESH TERMS: physiopathology

Chemical & Substance for Abstract: [The correlation between plasma atrial natriuretic polypeptide levels (ANP) and cardio-pulmonary function during the perioperative period of esophageal cancer] Information

Substance Name: Atrial Natriuretic Factor

Registry Number: 85637-73-6

Grant and Affiliation Information for [The correlation between plasma atrial natriuretic polypeptide levels (ANP) and cardio-pulmonary function during the perioperative period of esophageal cancer]

AFFILIATION: Department of Surgery, Kansai Medical University, Osaka, Japan.

Country: JAPAN

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MEDLINETA: Nippon Kyobu Geka Gakkai Zassh

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