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 Name | Affiliation | E-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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