Chao Sun,Weiping Shi,Yusheng Shu,Hongcan Shi,Shichun Lu,Kang Wang. Diaphragmatic suture with tubular stomach to prevent early delayed gastric emptying after esophagectomy. Oncol Transl Med, 2015, 1: 280-283.
Diaphragmatic suture with tubular stomach to prevent early delayed gastric emptying after esophagectomy
Received:April 04, 2015  Revised:November 17, 2015
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KeyWord:esophageal cancer; esophagectomy; delayed gastric emptying (DGE); tubular stomach; complications
Author NameAffiliationE-mail
Chao Sun Northern Jiangsu People’s Hospital, Yangzhou, China simon1028@sina.com 
Weiping Shi Northern Jiangsu People’s Hospital, Yangzhou, China 4073210@qq.com 
Yusheng Shu Northern Jiangsu People’s Hospital, Yangzhou, China shuyusheng65@163.com 
Hongcan Shi Northern Jiangsu People’s Hospital, Yangzhou, China shihongcan@hotmail.com 
Shichun Lu Northern Jiangsu People’s Hospital, Yangzhou, China lushichun168@163.com 
Kang Wang Northern Jiangsu People’s Hospital, Yangzhou, China esowangkang@sina.com 
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Abstract:
      Objective?The objective of this study was to evaluate the clinical efficacy of a diaphragmatic suture with tubular stomach to prevent delayed gastric emptying (DGE) after esophagectomy through the cervico-thoracoabdominal approach. Methods?A total of 980 patients with esophageal cancer undergoing esophagectomy through the cervico-thoracoabdominal approach were retrospectively included in this study and divided into two groups. All patients underwent tubular stomach creation (group A; n = 530) or a diaphragmatic suture and tubular stomach creation (group B; n = 450). The incidence of early DGE was observed. Results?The incidence of early DGE in group A was significantly higher than that in group B (P < 0.05). Conclusion?This observation study suggests that the use of a diaphragmatic suture with tubular stomach through the cervico-thoracoabdominal approach can decrease the incidence of early DGE after esophagectomy.
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