Comparison of pyloromyotomy, pyloric buginage, and intact pylorus on gastric drainage in gastric pull-up surgery after esophagectomy

Background: There are controversies regarding the usefulness of the pyloric drainage methods after esophagectomy as well as differences among various pyloric drainage techniques. Therefore, we compared the outcome of pyloromyotomy, pylorus buginage, and no intervention methods on gastric emptying am...

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Published in:Journal of research in medical sciences 2016-01, Vol.21 (1), p.33-33
Main Authors: Mohajeri, Gholamreza, Tabatabaei, Seyed, Hashemi, Seyed, Hemmati, Hamidreza
Format: Article
Language:English
Subjects:
Analysis
Barium
Esophageal cancer
Esophagectomy
Family medical history
Gastrointestinal motility
Hospitals
Methods
Mortality
Original
Patient satisfaction
Patients
pyloric buginage
pyloromyotomy
Pyloroplasty
Studies
Surgery
Surgical outcomes
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Summary:Background: There are controversies regarding the usefulness of the pyloric drainage methods after esophagectomy as well as differences among various pyloric drainage techniques. Therefore, we compared the outcome of pyloromyotomy, pylorus buginage, and no intervention methods on gastric emptying among patients undergone esophagectomy. Materials and Methods: In this randomized clinical trial, patients with diagnosed esophageal cancer or any other benign lesions candidate for esophagectomy were selected. They randomized in three groups with three different approaches for gastric pull-up esophageal surgery including esophagectomy with pyloromyotomy, esophagectomy without intervention, and esophagectomy with pylorus buginage. The outcomes of procedures regarding gastric emptying time and delayed gastric emptying were compared. Results: Thirty patients were allocated in three groups. Gastric emptying time was not significantly different in the three groups (P > 0.05). Frequency of delayed gastric emptying, complications and barium leakage were not different in three studied groups (P > 0.05). Conclusion: Gastric emptying time and delayed gastric emptying were not different between common pyloric drainage methods after esophagectomy and esophagectomy without drainage.
ISSN:1735-1995
1735-1995
1735-7136
DOI:10.4103/1735-1995.181993