IS PYLOROPLASTY NECESSARY FOLLOWING INTRATHORACIC TRANSPOSITION OF STOMACH - RESULTS OF A PROSPECTIVE CLINICAL-STUDY

被引：29

作者：

CHATTOPADHYAY, TK

GUPTA, S

PADHY, AK

KAPOOR, VK

机构：

[1] Departments of Surgery, All India Institute of Medical Sciences, New Delhi

[2] Departments of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi

来源：

AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1991年 / 61卷 / 05期

关键词：

GASTRIC EMPTYING; INTRATHORIC STOMACH; ESOPHAGEAL CANCER; PYLOROPLASTY;

D O I：

10.1111/j.1445-2197.1991.tb00236.x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Twenty four patients underwent oesophagectomy for oesophageal cancer. The oesophagogastric anastomosis was performed in the neck in all patients. Following oesophagectomy and gastric mobilization patients were randomly selected into pyloroplasty and no pyloroplasty groups. Pre and postoperative gastric emptying of these patients evaluated by radioisotope technique were then compared. The results suggest significantly delayed postoperative gastric emptying in both the groups though it was less pronounced in the pyloroplasty group. All patients were then carefully followed until death (period varying between 6 months and 4 years) for ill effects of delayed gastric emptying which were present in some patients of both the groups. It was thus concluded that emptying of thoracic stomach is delayed and pyloroplasty fails to improve it completely. Postoperatively patients behave much the same way with or without pyloroplasty.

引用

页码：366 / 369

页数：4

共 19 条

[1]

Belsey R.H.R., Palliative management of oesophageal carcinoma, Amer. J. Surg., 139, pp. 789-794, (1980)

[2]

Wong J., Management of carcinoma of oesophagus: art or science, J. R. Coll. Surg. Edinb., 26, pp. 138-149, (1981)

[3]

Ong G.B., Kwong K.H., The Lewis‐Tanner operation for cancer of the oesophagus, J. R. Coll. Surg. Edinb., 14, pp. 3-19, (1969)

[4]

Groves L.K., Carcinoma of the oesophagus, Ann. Thorac. Surg., 1, pp. 416-431, (1965)

[5]

Magill T.G., Simmons R.L., Resection of cardio‐oesophageal carcinoma, Arch. Surg., 94, pp. 865-870, (1967)

[6]

Ellis R.H., Cancer of the oesophagus and cardia: role of surgery in palliation, Postgrad. Med., 75, pp. 139-148, (1984)

[7]

Mannell A., McKnight A., Esser J.D., Role of pyloroplasty in the retrostemal stomach: results of a prospective, randomized controlled trial, Brit. J. Surg., 77, pp. 57-59, (1990)

[8]

Ellis F.H., Gibbs S.P., Oesophagogastrec‐tomy for carcinoma. Current hospital mortality and morbidity rates, Ann. Surg., 190, pp. 699-705, (1979)

[9]

Collis J.L., The long‐term clinical state after resection with gastro‐oesophagostomy, Surgery of the Oesophagus, pp. 19-21, (1972)

[10]

Angorn I.B., Oesophagogastrostomy without a drainage procedure in oesophageal carcinoma, Brit. J. Surg., 62, pp. 601-604, (1975)

← 1 2 →