The Effect of Esophagectomy and Cervical Esophagogastrostomy with or Without of Pyloromyotomy on Emptying of intrathoracic Stomach

Godazandeh, GH.A and Khani, H and Afzali, S.L and Khalilian, A.R and Maleki, E and TirgarFakheri, H and Mahbob, F (2007) The Effect of Esophagectomy and Cervical Esophagogastrostomy with or Without of Pyloromyotomy on Emptying of intrathoracic Stomach. Journal of Mazandaran University of Medical Sciences, 17 (60). pp. 48-57.

Full text not available from this repository.
Official URL: http://jmums.mazums.ac.ir/article-1-250-en.html

Abstract

Background and purpose: A gastric conduit is usually used to reconstruct the foregut after esophagectomy for cancer. The gastric emptying may be impaired after this operation, so some esophageal surgeons routinely add a pyloric drainage procedure. The aim of this study was to determine the emptying of the intrathoracic stomach after esophagectomy and cervical esophagogastrostomy with or without pyloromyotomy. Materials and Methods:Between January 2003 and April 2006, in a randomized controlled trial, 30 patients with esophageal carcinoma were randomized to have with or without pyloromyotomy as a gastric emptying procedure for the gastric conduit used for esophageal replacement. Patterns of gastric emptying in the vagotomized intrathoracic stomach were studied using radioisotope techniques. Gastric emptying (GE) was evaluated 8 weeks after the operation. Patients were available for 6 months follow-up. Results:A total of 30 patients were enrolled in this study. Sixty percent (18) were male, and 40 (12) were female. Twenty three patients (76.7) had squamous cell carcinoma and 7 (23.3) had adenocarcinoma. Delayed GE was reported in 11 (73.3) and normal GE in 4 (26.7) of patients with Pyloromyotomy. Delayed GE was reported in 9 (60) and normal GE in 6 (40) of patients without Pyloromyotomy. There were not any significant differences between complications of post surgery in both groups. Conclusion:These findings were showed that esophageal surgery can be don�t add a pyloric drainage procedure in esophagectomy and cervical esophagogastrostomy and that very few patients actually need it.

Item Type: Article
Uncontrolled Keywords: Esophageal cancer, Esophagectomy, Cervical esophagogastrostomy, Pyloromyotomy, Gastric emptying
Depositing User: Unnamed user with email eprints@mazums.ac.ir
Date Deposited: 04 Jan 2018 17:50
Last Modified: 04 Jan 2018 17:50
URI: http://eprints.mazums.ac.ir/id/eprint/3218

Actions (login required)

View Item View Item