Gastrointestinal function following esophagectomy for malignancy - 12/09/11
Abstract |
Background |
The frequency and causes of gastrointestinal complications following esophagectomy for malignancy are unknown.
Patients and methods |
We reviewed 295 esophagectomies performed for malignancy between January 1980 and September 1994 in order to determine the frequency and causes of early and late gastrointestinal complications.
Results |
Compared to transhiatal and left thoracoabdominal esophagectomies, esophagectomies carried out through a right posterolateral thoracotomy with cervical esophagogastric anastomosis had a higher incidence of delayed gastric emptying (11%), pneumonia (26%), and hospital death (9%). The same operation had a higher incidence of gastroesophageal reflux (20%) and dysphagia requiring esophageal dilatation (53%). We found no independent effect of gastric drainage procedures, feeding jejunostomy, preoperative radiotherapy, pathology, or age on these outcomes. Women had no operative mortality, but a higher incidence of gastroesophageal reflux and diarrhea following esophagectomy.
Conclusions |
Surgical techniques aimed at improving gastric emptying following esophagectomy for cancer should improve operative morbidity and mortality.
Le texte complet de cet article est disponible en PDF.| * | Presented at the 81st Annual Meeting of the North Pacific Surgical Association, Coeur d'Alene, Idaho, November 10–11, 1994. |
Vol 169 - N° 5
P. 471-475 - mai 1995 Retour au numéro
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