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.
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.
Authors: A Del Genio; G Rossetti; V Napolitano; V Maffettone; A Renzi; L Brusciano; G Russo; G Del Genio Journal: Surg Endosc Date: 2004-10-26 Impact factor: 4.584
Authors: Shailesh P Puntambekar; Geetanjali A Agarwal; Saurabh N Joshi; Neeraj V Rayate; Ravindra M Sathe; Anjali M Patil Journal: Surg Endosc Date: 2010-03-05 Impact factor: 4.584
Authors: Manochehr Aghajanzadeh; Feizollah Safarpour; M Reza Koohsari; Farborz M Ghanaei; Sadigheh M Bodaghi; Hadi Tozandehgani Journal: Saudi J Gastroenterol Date: 2009-01 Impact factor: 2.485
Authors: Kfir Ben-David; Tad Kim; Angel M Caban; Georgios Rossidis; Sara S Rodriguez; Steven N Hochwald Journal: J Gastrointest Surg Date: 2013-05-25 Impact factor: 3.452
Authors: Paul J Simpson; Corinne Ooi; Jennifer Chong; Andrew Smith; Andrew Baldey; Margaret Staples; Simon Woods Journal: J Gastrointest Surg Date: 2008-11-01 Impact factor: 3.452