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- Publisher Website: 10.1046/j.1442-2050.2000.00112.x
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- PMID: 11206633
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Article: Pyloroplasty in gastric replacement of the esophagus after esophagectomy: One-layer or two-layer technique?
Title | Pyloroplasty in gastric replacement of the esophagus after esophagectomy: One-layer or two-layer technique? |
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Authors | |
Issue Date | 2000 |
Publisher | Wiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/DES |
Citation | Diseases Of The Esophagus, 2000, v. 13 n. 3, p. 203-206 How to Cite? |
Abstract | Pyloroplasty is our routine drainage procedure performed when the stomach is used as the esophageal substitute after esophageal resection for cancer. The technique of pyloroplasty varies among surgeons and effectiveness has not been studied. Thirty-four patients with a gastric conduit whose pyloroplasty was constructed with a one-layer technique (group 1) were compared with a historical cohort of 31 patients treated with a two-layer method (group 2). Patients who had an abnormal pyloroduodenal region were excluded from the study. Perioperative morbidity and post-operative gastrointestinal symptoms within the first 6 months were evaluated. Patient demographics and the types of surgical procedures did not differ between the two groups. The median daily output from the nasogastric tube was 119 mL in group 1 and 115 mL in group 2 (p = 0.49). In 40 out of 65 patients (62%), the nasogastric tube was removed at a median of 3 days after the operation in both groups. There was no leakage from the pylorus or the esophagogastric anastomosis in this study. In both groups, the patients could resume a semisolid diet at a median of 8 days after surgery. One patient in group 1 and two patients in group 2 developed gastroparesis clinically. No patient, however, required reoperation. There was no significant difference in cardiopulmonary complications attributable to the technique of pyloroplasty. The incidence of gastrointestinal symptoms within the first 6 months after surgery did not differ. Regurgitation was the most common symptom, affecting 10 patients in each group, 29% and 32% in group 1 and group 2 respectively (p = 1.0). Pyloroplasty was an effective gastric drainage procedure after esophagectomy whether the one or two-layer method was used. The authors prefer the one-layer method, which is safe and simple. |
Persistent Identifier | http://hdl.handle.net/10722/83765 |
ISSN | 2023 Impact Factor: 2.3 2023 SCImago Journal Rankings: 1.038 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, YM | en_HK |
dc.contributor.author | Law, S | en_HK |
dc.contributor.author | Chu, KM | en_HK |
dc.contributor.author | Wong, J | en_HK |
dc.date.accessioned | 2010-09-06T08:44:57Z | - |
dc.date.available | 2010-09-06T08:44:57Z | - |
dc.date.issued | 2000 | en_HK |
dc.identifier.citation | Diseases Of The Esophagus, 2000, v. 13 n. 3, p. 203-206 | en_HK |
dc.identifier.issn | 1120-8694 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/83765 | - |
dc.description.abstract | Pyloroplasty is our routine drainage procedure performed when the stomach is used as the esophageal substitute after esophageal resection for cancer. The technique of pyloroplasty varies among surgeons and effectiveness has not been studied. Thirty-four patients with a gastric conduit whose pyloroplasty was constructed with a one-layer technique (group 1) were compared with a historical cohort of 31 patients treated with a two-layer method (group 2). Patients who had an abnormal pyloroduodenal region were excluded from the study. Perioperative morbidity and post-operative gastrointestinal symptoms within the first 6 months were evaluated. Patient demographics and the types of surgical procedures did not differ between the two groups. The median daily output from the nasogastric tube was 119 mL in group 1 and 115 mL in group 2 (p = 0.49). In 40 out of 65 patients (62%), the nasogastric tube was removed at a median of 3 days after the operation in both groups. There was no leakage from the pylorus or the esophagogastric anastomosis in this study. In both groups, the patients could resume a semisolid diet at a median of 8 days after surgery. One patient in group 1 and two patients in group 2 developed gastroparesis clinically. No patient, however, required reoperation. There was no significant difference in cardiopulmonary complications attributable to the technique of pyloroplasty. The incidence of gastrointestinal symptoms within the first 6 months after surgery did not differ. Regurgitation was the most common symptom, affecting 10 patients in each group, 29% and 32% in group 1 and group 2 respectively (p = 1.0). Pyloroplasty was an effective gastric drainage procedure after esophagectomy whether the one or two-layer method was used. The authors prefer the one-layer method, which is safe and simple. | en_HK |
dc.language | eng | en_HK |
dc.publisher | Wiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/DES | en_HK |
dc.relation.ispartof | Diseases of the Esophagus | en_HK |
dc.subject.mesh | Anastomosis, Surgical | en_HK |
dc.subject.mesh | Digestive System Surgical Procedures - methods | en_HK |
dc.subject.mesh | Esophageal Neoplasms - surgery | en_HK |
dc.subject.mesh | Esophagectomy | en_HK |
dc.subject.mesh | Female | en_HK |
dc.subject.mesh | Humans | en_HK |
dc.subject.mesh | Male | en_HK |
dc.subject.mesh | Middle Aged | en_HK |
dc.subject.mesh | Pylorus - surgery | en_HK |
dc.subject.mesh | Reconstructive Surgical Procedures | en_HK |
dc.subject.mesh | Stomach - surgery | en_HK |
dc.subject.mesh | Suture Techniques | en_HK |
dc.title | Pyloroplasty in gastric replacement of the esophagus after esophagectomy: One-layer or two-layer technique? | en_HK |
dc.type | Article | en_HK |
dc.identifier.openurl | http://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1120-8694&volume=13&issue=3&spage=203&epage=206&date=2000&atitle=Pyloroplasty+in+gastric+replacement+of+the+esophagus+after+esophagectomy:+one-layer+or+two-layer+technique? | en_HK |
dc.identifier.email | Law, S: slaw@hku.hk | en_HK |
dc.identifier.email | Chu, KM: chukm@hkucc.hku.hk | en_HK |
dc.identifier.email | Wong, J: jwong@hkucc.hku.hk | en_HK |
dc.identifier.authority | Law, S=rp00437 | en_HK |
dc.identifier.authority | Chu, KM=rp00435 | en_HK |
dc.identifier.authority | Wong, J=rp00322 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1046/j.1442-2050.2000.00112.x | en_HK |
dc.identifier.pmid | 11206633 | - |
dc.identifier.scopus | eid_2-s2.0-0034495163 | en_HK |
dc.identifier.hkuros | 58941 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0034495163&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 13 | en_HK |
dc.identifier.issue | 3 | en_HK |
dc.identifier.spage | 203 | en_HK |
dc.identifier.epage | 206 | en_HK |
dc.identifier.isi | WOS:000166798800005 | - |
dc.publisher.place | Australia | en_HK |
dc.identifier.scopusauthorid | Lee, YM=8521465600 | en_HK |
dc.identifier.scopusauthorid | Law, S=7202241293 | en_HK |
dc.identifier.scopusauthorid | Chu, KM=7402453538 | en_HK |
dc.identifier.scopusauthorid | Wong, J=8049324500 | en_HK |
dc.identifier.issnl | 1120-8694 | - |