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Am J Surg. 1995 May;169(5):471-5.

Gastrointestinal function following esophagectomy for malignancy.

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1
Department of Surgery, Vancouver Hospital, British Columbia, Canada.

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.

PMID:
7747821
[Indexed for MEDLINE]
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