Effects of intraoperative pyloric stretch procedure on outcomes after esophagectomy

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
P R BoshierG B Hanna

Abstract

Various methods have been described to aid pyloric drainage in patients undergoing esophagectomy with gastric reconstruction. These techniques are intended to prevent delayed gastric empting following esophagectomy that can be associated with early morbidity and long-term functional complaints. The current study aims to review the safety and efficacy of a pyloric stretch procedure performed at the time of esophagectomy. To achieve this, a retrospective review of 100 consecutive patients undergoing esophagectomy during the period 2011-2016 was performed. Until May 2013, no patients received intraoperative pyloric intervention. After May 2013, all patients (N = 50) underwent intraoperative pyloric stretch procedure that involved bidirectional mechanical dilatation of the pylorus. Postoperative outcomes including result of routine oral contrast swallow and early morbidity were evaluated. Intraoperative pyloric stretching was performed safely and without local complications in all patients. Delayed gastric emptying was observed significantly less frequently in patients who received intraoperative pyloric stretching (48% vs. 22%, P = 0.006). No significant differences were observed in postoperative outcomes. When considering all pat...Continue Reading

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Citations

Jan 21, 2020·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Sivesh K KamarajahEwen A Griffiths
Sep 4, 2021·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Mohamed AbdelrahmanDavid S Y Chan

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