Pylorus drainage procedures in thoracoabdominal esophagectomy - a single-center experience and review of the literature

BMC Surgery
Stefan FritzJörg Köninger

Abstract

Pylorotomy and pyloroplasty in thoracoabdominal esophagectomy are routinely performed in many high-volume centers to prevent delayed gastric emptying (DGE) due to truncal vagotomy. Currently, controversy remains regarding the need for these practices. The present study aimed to determine the value and role of pyloric drainage procedures in esophagectomy with gastric replacement. A retrospective review of prospectively collected data was performed for all consecutive patients who underwent thoracoabdominal resection of the esophagus between January 2009 and December 2016 at the Katharinenhospital in Stuttgart, Germany. Clinicopathologic features and surgical outcomes were evaluated with a focus on postoperative nutrition and gastric emptying. The study group included 170 patients who underwent thoracoabdominal esophageal resection with a gastric conduit using the Ivor Lewis approach. The median age of the patients was 64 years. Most patients were male (81%), and most suffered from adenocarcinoma of the esophagus (75%). The median hospital stay was 20 days, and the 30-day hospital death rate was 2.9%. According to the department standard, pylorotomy, pyloroplasty, or other pyloric drainage procedures were not performed in any of ...Continue Reading

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Citations

Sep 19, 2020·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·C F MurphyC W le Roux
Aug 15, 2020·The Korean Journal of Thoracic and Cardiovascular Surgery·Dohun Kim
Aug 15, 2020·The Korean Journal of Thoracic and Cardiovascular Surgery·Hee Chul YangJong Mog Lee
Oct 23, 2020·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Allison B FrederickSharon Ben-Or
Jul 1, 2020·Thoracic Surgery Clinics·Ammara A WatkinsJennifer L Wilson

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Methods Mentioned

BETA
surgical resection

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